Abdominal cocoon: a rare cause of intestinal obstruction - a case report.

Abdominal cocoon, or sclerosing encapsulating peritonitis, is an uncommon cause of small bowel obstruction characterized by encasement of the intestines within a fibrous membrane. We present a case of a 75-year-old male with multiple comorbidities who presented with intestinal obstruction and was diagnosed with an abdominal cocoon intraoperatively. Preoperative diagnosis remains highly challenging due to nonspecific symptoms and clinical imaging signs. When conservative management fails, definitive surgical intervention via thorough membrane excision and careful adhesiolysis is required. Surgeons should consider abdominal cocoon as a differential diagnosis in cases of unexplained or atypical intestinal obstruction to avoid delayed management.