A laparoscopic approach to an enigmatic case of subacute intestinal obstruction

Abstract

Abdominal cocoon is a condition in which the bowel is encapsulated with a fibrous exudate which gradually leads to bowel obstruction. A 45y/o otherwise healthy male presented to our OPD with complaints of intractable vomiting and significant weight loss since February 2023.His primary diagnosis were group B Esophagitis but later he was diagnosed with Internal Hernia by his earlier physicians. Our preoperative diagnosis for the patient was the same. We planned a diagnostic laparoscopy with repair of internal hernia but the Intraoperative diagnosis was abdominal cocoon.