Abdominal cocoon syndrome is a rare cause of intestinal obstruction, which is difficult to diagnose preoperatively. We report a case of an abdominal cocoon. A 47-year-old male patient was referred to the general surgery department with complaints of abdominal pain, distension, nausea and vomiting for one day. An abdominal computed tomography (CT) examination detected the dilated small intestinal loops clustered in the abdomen and surrounded by a saclike membrane. During the exploratory surgery, a capsular structure was identified in the lower quadrant with a regular surface that was solid-fibrous in nature. The combination of the physical examination, the imaging signs and the medical history, may be helpful in the diagnosis.
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