# Abdominal Cocoon Presenting As Subacute Intestinal Obstruction

## TL;DR

A rare case of abdominal cocoon causing subacute intestinal obstruction is reported, highlighting its unusual presentation and successful treatment.

## Contribution

This paper adds a rare clinical case of abdominal cocoon presenting as subacute intestinal obstruction to the scientific literature.

## Key findings

- Abdominal cocoon was confirmed via CT scan in a patient with partial midgut malrotation.
- Laparotomy with sac excision and adhesiolysis led to successful recovery.
- The case underscores the rarity of idiopathic abdominal cocoon and its unusual clinical presentation.

## Abstract

An abdominal cocoon is the formation of a fibro-collagenous membrane that surrounds the small bowel like the larval cocoon. We present a rare case of abdominal cocoon presenting as a subacute intestinal obstruction in a patient with partial midgut malrotation. The case was confirmed with CT after initial clinical examination. The patient underwent laparotomy with excision of the sac and adhesiolysis followed by an uneventful recovery. Since idiopathic abdominal cocoon is rare and so is its manifestation as subacute intestinal obstruction, we wish to add this case to the current scientific literature.