Abdominal cocoon syndrome. A rare cause of mechanical intestinal obstruction: A case report

Introduction and importance: Abdominal Cocoon Syndrome (ACS) also known as Idiopathic. Sclerosing Peritonitis, is a rare cause of Mechanical Intestinal Obstruction.Case presentation: We present a 59-year-old man with severe intestinal blockage symptoms for three days. Rectum had a noticeable amount of abdominal fat. To rule out the more common causes of mechanical blockage, a CT scan revealed the presence of a rare condition called Cocoon Syndrome, which necessitated exploratory lapa-rotomy and adhesiolysis surgery. After the surgery, the patient was declared stable and was released from the hospital. Clinical discussion: The diagnosis of a tuberculous abdominal cocoon before surgery is a real challenge.Conclusion: Recognizing and understanding this entity, as well as the usual radiological findings, may help in its appropriate treatment.