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Exploratory laparotomy revealed a thick fibrocollagenous peritoneal membrane encapsulating ischemic bowel loops. Resection of non-viable bowel and enteroenterostomy were performed. Postoperative recovery was complicated with an asymptomatic intra-abdominal collection managed with vacuum-assisted dressing. ACS poses diagnostic and therapeutic challenges. Early recognition and surgical intervention are essential to avoid complications. Clinician awareness is crucial for timely diagnosis and management.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf595","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T18:06:23Z","timestamp":1755021983000},"source":"Crossref","is-referenced-by-count":2,"title":["Idiopathic cocoon syndrome presenting as small bowel obstruction with asymptomatic postoperative intra-abdominal collection: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Zainab","family":"Alammar","sequence":"first","affiliation":[{"name":"Department of Surgery, King Fahd Hospital, Alahsa ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0327-1764","authenticated-orcid":false,"given":"Jawad S","family":"Alnajjar","sequence":"additional","affiliation":[{"name":"College of Medicine , King Faisal University, Alahsa ,","place":["Saudi 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