{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:55:56Z","timestamp":1774511756114,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Abdominal cocoon syndrome, or idiopathic sclerosing encapsulating peritonitis (SEP), is an uncommon cause of small bowel obstruction marked by the encasement of bowel loops within a dense fibrocollagenous membrane. Due to its rarity and nonspecific presentation, diagnosis is frequently delayed, particularly in patients without prior abdominal surgery or known risk factors. We report a diagnostically challenging case of a 53\u2010year\u2010old male with an 18\u2010month history of recurrent gastrointestinal obstruction, including bilious vomiting, oral intolerance, and epigastric pain. Multiple prior evaluations yielded inconclusive findings. Contrast\u2010enhanced computed tomography raised suspicion for SEP, prompting exploratory laparotomy. Intraoperative findings confirmed SEP, along with a rare anatomical anomaly\u2014hypoplasia of the greater omentum. Surgical excision of the encasing membrane and adhesiolysis resulted in complete symptom resolution, with no recurrence at six\u2010month follow\u2010up. This case underscores the importance of clinical vigilance in recognizing abdominal cocoon syndrome and highlights the first reported co\u2010occurrence of SEP with greater omental hypoplasia. Surgical exploration not only confirmed the diagnosis but also achieved full recovery. The embryologic implications of omental hypoplasia may offer new insights into SEP pathophysiology and merit further investigation.<\/jats:p>","DOI":"10.1002\/ccr3.72147","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:10:54Z","timestamp":1772961054000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Abdominal Cocoon Syndrome With Greater Omental Hypoplasia: A Rare Anatomical Insight and Diagnostic Challenge"],"prefix":"10.1002","volume":"14","author":[{"given":"Sohrab","family":"Sayyadi","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keihan","family":"Shabankhani","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Mahdi","family":"Sargazi Moghaddam","sequence":"additional","affiliation":[{"name":"Student Research Committee Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Mohammad","family":"Sakhaei","sequence":"additional","affiliation":[{"name":"Department of Radiology and Nuclear Medicine, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Alvandipour","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Muhammad Mehdi","family":"Ghaffari Hamedani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossein","family":"Farsavian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7374-2783","authenticated-orcid":false,"given":"Mohammad Javad","family":"Najafi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mazandaran University of Medical Sciences  Sari Iran"},{"name":"Clinical Research Development Unit of Imam Khomeini Hospital Mazandaran University of Medical Science  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i17.1999"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i2.675"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13685"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.5603"},{"key":"e_1_2_14_6_1","first-page":"136","article-title":"Idiopathic Sclerosing Encapsulating Peritonitis: A Case Report","volume":"38","author":"Bouardi N.","year":"2021","journal-title":"Pan African Medical Journal"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2458-6"},{"issue":"27","key":"e_1_2_14_8_1","first-page":"486","article-title":"Abdominal Cocoon Syndrome","volume":"116","author":"Karl A. 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