An unusual small bowel obstruction (abdominal cocoon): a case report

INTRODUCTION

Abdominal cocoon is a rare disease which causes small-bowel obstruction that is characterized by a thick, fibrotic and cocoon-like membrane encapsulating total or partially the small bowel^1,2,3. Its etiology remains unknown^4,5. Surgical management is the treatment of choice¹. In this report, it is described a young patient with abdominal cocoon who presented clinical signs and paraclinical findings of intestinal obstruction.

CASE REPORT

In July 2010 a 25 year-old man was admitted with 2-month history of intermittent colicky abdominal pain and bilious vomiting and abdominal distension. He also complained from chronic constipation, anorexia and 14 kg weight loss during the previous two months. He had no surgical or other medical history except using of a body building supplement drugs which contain creatin.