Work

Abdominal cocoon: a rare presentation of abdominal distension in a young adult male—a case report

Year: 2025

Type: article

Abstract: This case report outlines the presentation, evaluation, and management of a 35-year-old male patient with a history of subacute intestinal obstruction, who presented with generalised abdominal pain and distension. Clinical evaluation revealed a tender supraumbilical mass, and imaging confirmed abdominal cocoon-a rare condition where small bowel loops are encapsulated by a thin peritoneal layer. Initially managed conservatively, the patient's condition improved and he was discharged from the hospital but later returned with recurrent intestinal obstruction. Subsequently, he underwent exploratory laparotomy with open adhesiolysis, which was successful without any post-operative complications. The patient has since been stable during the follow-up period, showing good tolerance to treatment.

Source: Journal of the Pakistan Medical Association

DOI: 10.47391/jpma.22928

Authors: Naheed Habibullah, Syed Hassan, Badar Afzal Khan, Najm Us Sahar

Institutions: Aga Khan University, Aga Khan University Hospital

Language: English

Topic: Intestinal and Peritoneal Adhesions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $650