{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:47:32Z","timestamp":1791632852561,"version":"4.3.4"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction characterized by the encasement of the small intestine in a fibrocollagenous membrane, making preoperative diagnosis challenging. We present the case of a 15-year-old male with acute intestinal obstruction, where a contrast-enhanced computed tomography scan revealed a pathognomonic cocoon-like structure and concurrent gut malrotation. The diagnosis was confirmed intraoperatively, and management involved membrane excision, adhesiolysis, and a simple appendectomy for a secondarily involved appendix. This case is clinically significant for demonstrating tailored intraoperative decision-making; the appendicular involvement was correctly identified as a secondary consequence of the cocoon\u2019s chronic inflammation, thus avoiding an unnecessary hemicolectomy. This report underscores ACS as a critical differential diagnosis for intestinal obstruction in young males, particularly in tropical regions, and highlights that early, pathology-guided surgical intervention is essential for favorable outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf696","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T14:27:42Z","timestamp":1757514462000},"source":"Crossref","is-referenced-by-count":3,"title":["Abdominal cocoon syndrome: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Fazeela","family":"Bibi","sequence":"first","affiliation":[{"name":"Department of Medicine , Jinnah Medical and Dental College, Shaheed-e-Millat Road, Karachi East District, Karachi, Sindh 74800,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of MBBS , Bannu Medical College, Bannu Township, Bannu District, Khyber Pakhtunkhwa 28100,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uzair","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of MBBS , Lady Reading Hospital, Soekarno Road, Peshawar Cantonment, Peshawar, Khyber Pakhtunkhwa 25000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shafiq Ur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Medicine , Saidu Medical College, Saidu Sharif, Swat District, Khyber Pakhtunkhwa 19200,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalil","family":"El Abdi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmacy , Mohammed V University, Avenue Mohammed Belarbi El Alaoui, BP 6203, Rabat Institutions, Souissi, Rabat 10100,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Aimal","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of MBBS , Lady Reading Hospital, Soekarno Road, Peshawar Cantonment, Peshawar, Khyber Pakhtunkhwa 25000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Khizar","sequence":"additional","affiliation":[{"name":"Department of Medicine , Khyber Medical College, University Campus, Peshawar, Khyber Pakhtunkhwa 25120,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine , Nowshera Medical College, Kaka Sahib Road, Nowshera District, Khyber Pakhtunkhwa 24100,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2627-685X","authenticated-orcid":false,"given":"Javed","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Nursing Department, Hamad Medical Corporation Doha, \u00a0 PO Box 3050, Doha ,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umama","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Medicine , Khyber Medical College, University Campus, Peshawar, Khyber Pakhtunkhwa 25120,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"key":"2025091010273822400_ref1","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.amjsurg.2008.07.054","article-title":"Diagnosis and treatment of abdominal cocoon: a report of 24 cases","volume":"198","author":"Wei","year":"2009","journal-title":"Am J Surg"},{"key":"2025091010273822400_ref2","doi-asserted-by":"publisher","first-page":"51","DOI":"10.4240\/wjgs.v6.i3.51","article-title":"Coexistence of abdominal cocoon, intestinal perforation and incarcerated Meckel\u2019s diverticulum in an inguinal hernia: a troublesome condition","volume":"6","author":"Akbulut","year":"2014","journal-title":"World J Gastrointest Surg"},{"key":"2025091010273822400_ref3","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/1749-7922-3-36","article-title":"An unusual and difficult diagnosis of intestinal obstruction: the abdominal cocoon","volume":"3","author":"Devay","year":"2008","journal-title":"World J Emerg Surg"},{"key":"2025091010273822400_ref4","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1148\/rg.2019180108","article-title":"Encapsulating peritoneal sclerosis: the abdominal cocoon","volume":"39","author":"Singhal","year":"2019","journal-title":"Radiographics"},{"key":"2025091010273822400_ref5","doi-asserted-by":"publisher","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":"2025091010273822400_ref6","doi-asserted-by":"publisher","first-page":"106401","DOI":"10.1016\/j.ijscr.2021.106401","article-title":"Abdominal cocoon syndrome: a case report of a rare disease entity causing intestinal obstruction","volume":"87","author":"Mohammed","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2025091010273822400_ref7","doi-asserted-by":"publisher","first-page":"e29837","DOI":"10.1097\/MD.0000000000029837","article-title":"Abdominal cocoon syndrome: rare cause of intestinal obstruction\u2014case report and systematic review of literature","volume":"101","author":"Chorti","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"2025091010273822400_ref8","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.3748\/wjg.v18.i17.1999","article-title":"Idiopathic sclerosing encapsulating peritonitis: abdominal cocoon","volume":"18","author":"Tannoury","year":"2012","journal-title":"World J Gastroenterol"},{"key":"2025091010273822400_ref9","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/1471-2482-6-3","article-title":"Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon)","volume":"6","author":"Serafimidis","year":"2006","journal-title":"BMC Surg"},{"key":"2025091010273822400_ref10","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s13756-019-0562-y","article-title":"Tuberculous abdominal cocoon mimicking peritoneal carcinomatosis. antimicrobe resist","volume":"8","author":"Meng","year":"2019","journal-title":"Infect Control"},{"key":"2025091010273822400_ref11","doi-asserted-by":"publisher","first-page":"109292","DOI":"10.1016\/j.ijscr.2024.109292","article-title":"Surgical management of sclerosing encapsulating peritonitis (SEP) secondary to tuberculosis: a case report and review of the literature","volume":"115","author":"Ayoub","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"2025091010273822400_ref12","doi-asserted-by":"publisher","first-page":"e60217","DOI":"10.7759\/cureus.60217","article-title":"Acute abdominal pain and rapidly accumulating ascites as an unusual presentation of salmonella Typhi: a case report","volume":"16","author":"Samaha","year":"2024","journal-title":"Cureus"},{"key":"2025091010273822400_ref13","doi-asserted-by":"crossref","first-page":"69","DOI":"10.14740\/jcs334e","article-title":"Cocoon syndrome: a rare entity","volume":"7.4","author":"Diaz","year":"2017","journal-title":"J Curr Surg"},{"key":"2025091010273822400_ref14","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1186\/s13256-023-04020-x","article-title":"Primary sclerosing encapsulating peritonitis: a case report","volume":"17","author":"Pintar","year":"2023","journal-title":"J Med Case Reports"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf696\/64236211\/rjaf696.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf696\/64236211\/rjaf696.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T14:27:43Z","timestamp":1757514463000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf696\/8250599"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf696","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,9]]},"published":{"date-parts":[[2025,9,1]]},"article-number":"rjaf696"}}