{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:28:07Z","timestamp":1790044087687,"version":"4.0.1"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Abdominal cocoon syndrome is a rare cause of bowel obstruction, with variable presentation. It needs a high index of suspicion for diagnosis. Surgical management with the release of adhesions is the preferred option for a healthy bowel. Iatrogenic bowel perforation is a possibility during bowel manipulation and the release of thick fibrous adhesions resulting in bowel resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Abdominal cocoon syndrome, also known as encapsulating peritoneal sclerosis, is a rare cause of intestinal obstruction in which the small intestine may be entirely or partially wrapped in a thick sac of fibrous tissue that resembles a cocoon. We present a male Ethiopian patient, 60\u2009years of age, who had a 6\u2010day history of symptoms of intermittent intestinal obstruction. Before his current presentation, he had a 6\u2010month history of sporadic vomiting and periodic abdominal pain. These symptoms would go away on their own. An exploratory laparotomy was performed for the preoperative diagnosis of small intestine obstruction secondary to primary small bowel volvulus after a plain abdomen x\u2010ray confirmed the small bowel obstruction diagnosis. But during surgery, we discovered something unexpected: a mass formed by the encasing membrane over the small bowel. En bloc resection of the mass and distal ileum with ileo\u2010transverse anastomosis was performed. The patient was discharged after 5\u2009days of an uneventful post\u2010operative stay. The morbidity and mortality of this rare instance can be decreased by awareness, prompt diagnosis, and appropriate intervention. We discuss diagnostic and therapeutic challenges encountered during the management of this patient.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9264","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T06:59:13Z","timestamp":1722927553000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Abdominal cocoon syndrome, a rare and interesting cause of intestinal obstruction: A case report"],"prefix":"10.1002","volume":"12","author":[{"given":"Endeshaw","family":"Menberu","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences Ambo University  Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Guteta","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences Ambo University  Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesfaye","family":"Bekele","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences Ambo University  Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8246-4922","authenticated-orcid":false,"given":"Simeon Mulugeta","family":"Mengistu","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1541-2257","authenticated-orcid":false,"given":"Yonathan","family":"Aliye","sequence":"additional","affiliation":[{"name":"Departement of Internal Medicine University of Gondar, College of Medical and Health Sciences  Gondar 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of encapsulating peritoneal sclerosis: a guideline on optimal and uniform treatment","volume":"69","author":"Habib SM","year":"2011","journal-title":"J Med"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/2249-4863.222040"}],"container-title":["Clinical Case 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