A Rare Cause of Bowel Obstruction

Fezzeh Elyasinia, Ahmadreza Soroush, Ehsan Sadeghian, Nima Taghizadeh, Maryam Mahdavidoust, Reza Parsaei, Mohammad Javad Bagheri


A 26-year-old female patient was admitted to our hospital, complaining of obstipation, nausea, and vomiting for the past 3 days. She had no significant medical and clinical history. The patient had no history of previous abdominal operations or medication use.

 Distension of the abdomen was the only finding on clinical examination. Plain abdominal radiography showed air-fluid levels and abdominal computed tomography (CT) showed the clustered terminal ileum and cecum, with dilatation at the proximal parts (figure 1). The findings of laboratory tests were within normal limits. Exploratory laparotomy was performed.

At laparotomy, we found that loops of ileum and cecum were trapped in a fibrotic sac with a diameter of nearly 10 cm (figure 2).


cocoon, bowel obstruction, sclerosing encapsulating peritonitis.

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DOI: http://dx.doi.org/10.15171/middle%20east%20j%20di.v12i2.2096

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