Abdominal cocoon syndrome, a rare cause of intestinal obstruction presenting in an Asian adult male: a case report.

Abstract

We present a case report of ACS in a 30-year-old male patient. The patient presented with a chronic history of progressive colicky abdominal pain associated with nausea, vomiting, constipation, and weight loss. Multiple investigations, including abdominal X-rays, ultrasound, and upper GI endoscopy, were unremarkable. However, the contrast-enhanced computed tomography abdomen suggested small bowel obstruction with a differential diagnosis of SEP. Later explorative laparotomy and histopathological examination confirmed the diagnosis of ACS. Adhesiolysis was performed intraoperatively, which resolved the patient's symptoms. The patient was asymptomatic at the 6th month follow-up visit. Being a fairly rare condition, primary SEP can lead to a plethora of misdiagnoses and discomfort to the patient if not diagnosed on time. This case report aims to create awareness of this disease outside of the expected demographics- perimenarchal Asian girls. It is highly important for this unusual case to serve as an educative tool for physicians all over the world.