Indian Journal of Surgery

, Volume 73, Issue 1, pp 73–75 | Cite as

Abdominal Cocoon as a Rare Cause of Small Bowel Obstruction in an Elderly Man: Report of a Case and Review of the Literature

  • Boris KirshteinEmail author
  • Solly Mizrahi
  • Igor Sinelnikov
  • Leonid Lantsberg
Case Report


Abdominal cocoon is a rare cause of intestinal obstruction usually diagnosed incidentally at laparotomy. The cause and pathogenesis of the condition have not been elucidated. It primarily affects adolescent girls living in tropical and subtropical regions. Several earlier cases have been reported in males. We describe an 82-year-old man presenting with small bowel obstruction without history of previous abdominal surgery. He was treated by warfarin following aortic valve replacement. Abdominal cocoon was detected at laparotomy. Excision of membrane and lysis of adhesions led to relief of obstruction. Abdominal cocoon is a rare pathology that may be found in all kinds of populations. It may be a rare form of small bowel obstruction diagnosed during surgery in elderly patients.


Intestinal obstruction Abdominal cocoon Sclerosing peritonitis Encapsulating peritonitis Adults 


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Copyright information

© Association of Surgeons of India 2010

Authors and Affiliations

  • Boris Kirshtein
    • 1
    Email author
  • Solly Mizrahi
    • 1
  • Igor Sinelnikov
    • 2
  • Leonid Lantsberg
    • 1
  1. 1.Department of Surgery ASoroka University Medical CenterBeer ShevaIsrael
  2. 2.Department of PathologySoroka University Medical CenterBeer ShevaIsrael

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