{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T22:00:15Z","timestamp":1773871215907,"version":"3.50.1"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T00:00:00Z","timestamp":1376870400000},"content-version":"vor","delay-in-days":230,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Abdominal cocoon syndrome is characterized by small bowel encapsulation by a fibro-collagenous membrane or \u201ccocoon\u201d. It is a rare cause of intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 42-year old man presented with sub-acute intestinal obstruction. Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesions. Postoperative recovery was unremarkable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Most patients with abdominal cocoon syndrome present with features of recurrent acute or chronic small bowel obstruction secondary to kinking and\/or compression of the intestines within the constricting cocoon. An abdominal mass may also be present due to an encapsulated cluster of dilated small bowel loops.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Abdominal cocoon is a rare condition causing intestinal obstruction and diagnosis requires a high index of suspicion because of the nonspecific clinical picture. CECT of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Peritoneal sac excision and adhesiolysis is the treatment and the outcome is usually satisfactory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.08.004","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T13:30:21Z","timestamp":1377005421000},"page":"955-957","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":35,"title":["Abdominal cocoon\u2014A rare cause of intestinal obstruction"],"prefix":"10.1097","volume":"4","author":[{"given":"Digvijoy","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh Parameshwaran","family":"Nair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tushar","family":"Dani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashanth","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-6-20260114","first-page":"501","article-title":"Small bowel obstruction caused by the abdominal cocoon syndrome: possible association with LeVeen shunt","volume":"95","author":"Cambria","year":"1984","journal-title":"Surgery"},{"key":"R2-6-20260114","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1097\/00004836-199803000-00013","article-title":"Abdominal cocoon in a man: preoperative diagnosis and literature review","volume":"26","author":"Deeb","year":"1998","journal-title":"Clin Gastroenterol"},{"key":"R3-6-20260114","first-page":"623","article-title":"Peritonitis chronic fibrosaincapsulata","volume":"83","author":"Owtschinnikow","year":"1907","journal-title":"ArchKlinChir"},{"key":"R4-6-20260114","first-page":"427","article-title":"Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon","volume":"65","author":"Foo","year":"1978","journal-title":"Br J Radiol"},{"key":"R5-6-20260114","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1016\/0016-5085(83)90387-6","article-title":"Peritoneal encapsulation and abdominal cocoon case reports and a review of the literature","volume":"84","author":"Sieck","year":"1983","journal-title":"Gastroenterology"},{"key":"R6-6-20260114","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1159\/000063290","article-title":"Sclerosing encapsulating peritonitis: regional changes of peritoneum","volume":"92","author":"Kazuyoshi","year":"2002","journal-title":"Nephron"},{"key":"R7-6-20260114","first-page":"742","article-title":"Sclerosing encapsulating peritonitis after intraperitoneal use of povidone iodine","volume":"67","author":"Keating","year":"1997","journal-title":"Aust NZ JSurg"},{"key":"R8-6-20260114","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1016\/S0140-6736(74)90218-9","article-title":"Sclerosing peritonitis, an unusual reaction to a beta-adrenergic-blocking drug (practolol)","volume":"2","author":"Brown","year":"1974","journal-title":"Lancet"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121300254X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121300254X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304110-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:14:47Z","timestamp":1768396487000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304110-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2013.08.004","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}