{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T14:42:05Z","timestamp":1772030525759,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,7,23]],"date-time":"2014-07-23T00:00:00Z","timestamp":1406073600000},"content-version":"vor","delay-in-days":203,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Abdominal cocoon (sclerosing encapsulating peritonitis) (SEP) is a rare condition, mostly affecting adolescent girls living in tropical\/subtropical region. Its etiology is unknown. It may cause acute or sub-acute intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We report here a 39 year old male who complained of long standing colicky abdominal pain, with significant weight loss. Abdomen CT scan showed clumping of ileal loops at the level of umbilicus, with a thin capsule surrounding it. Laparoscopy revealed abdominal cocoon, biopsy of which showed dense hypocellular fibro-collagenous tissue with no neoplastic or granulomatous process. Excision of fibrous tissue and release of adhesions was done. Patient was symptoms free after five months follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Abdominal exploration is usually needed for the diagnosis and treatment of abdominal cocoon. A thick fibrotic peritoneal wrapping of the bowel is usually found. Complete recovery is the result in majority of cases after surgical removal of the wrap causing the cocoon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Primary sclerosing encapsulating peritonitis (cocoon abdomen) diagnosis needs a high index of suspicion, as signs and symptoms are nonspecific and imaging findings are not always conclusive. Careful excision of the accessory peritoneal sac and lysis of adhesions between bowels is the best treatment. Prognosis is generally good.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.07.017","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T04:16:41Z","timestamp":1408421801000},"page":"735-738","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Idiopathic sclerosing encapsulating peritonitis (abdominal cocoon) in adult male. A case report"],"prefix":"10.1097","volume":"5","author":[{"given":"Amer Hashim","family":"Al Ani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najah","family":"Al Zayani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Najmeddine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunitha","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Nair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-25-20260114","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1002\/bjs.1800650617","article-title":"Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon","volume":"65","author":"Foo","year":"1978","journal-title":"Br J Surg"},{"key":"R2-25-20260114","first-page":"623","article-title":"Peritonitis chronica fibrosa incapsulata","volume":"83","author":"Owtschinnikow","year":"1907","journal-title":"Arch f\u00fcr Klinische Chirurgie"},{"key":"R3-25-20260114","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/S0022-3468(96)90431-5","article-title":"Abdominal cocoon in children: a report of four cases","volume":"31","author":"Sahoo","year":"1996","journal-title":"J Pediatr Surg"},{"key":"R4-25-20260114","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/BF02282343","article-title":"Peritoneal fibrosis in cirrhotics treated with peritoneovenous shunting for ascites: an autopsy study with clinical correlations","volume":"41","author":"Stanley","year":"1996","journal-title":"Dig Dis Sci"},{"key":"R5-25-20260114","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1002\/bjs.1800640402","article-title":"Sclerosing peritonitis due to practolol: a report on 9 cases and their surgical management","volume":"64","author":"Eltringham","year":"1977","journal-title":"Br J Surg"},{"key":"R6-25-20260114","first-page":"133","article-title":"Comprehensive analysis of 203 cases with abdominal cocoon","volume":"9","author":"Tu","year":"2006","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"R7-25-20260114","doi-asserted-by":"crossref","first-page":"184","DOI":"10.4103\/0972-9941.83511","article-title":"An unusual case in surgical emergency: abdominal cocoon and its laparoscopic management","volume":"7","author":"Ertem","year":"2011","journal-title":"J Minim Access Surg"},{"key":"R8-25-20260114","doi-asserted-by":"crossref","first-page":"639","DOI":"10.2214\/ajr.182.3.1820639","article-title":"Abdominal cocoon: preoperative diagnostic clues from radiologic imaging with pathologic correlation","volume":"182","author":"Hur","year":"2004","journal-title":"Am J Roentgenol"},{"key":"R9-25-20260114","doi-asserted-by":"crossref","first-page":"3649","DOI":"10.3748\/wjg.v13.i26.3649","article-title":"Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases","volume":"13","author":"Xu","year":"2007","journal-title":"World J Gastroenterol"},{"key":"R10-25-20260114","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0002-9610(01)00685-7","article-title":"Sclerosing encapsulating peritonitis after orthotopic liver transplantation","volume":"182","author":"Maguire","year":"2001","journal-title":"Am J Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001722?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214001722?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:14:40Z","timestamp":1768396480000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201405100-00025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.07.017","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}