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Updated: Mar 7, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Abdominal cocoon accompanied by multiple peritoneal loose body.
Yongyuan Cheng1, Lintao Qu, Jun Li
1Department of Radiology, Yantai Municipal Laiyang Central Hospital Medical Imaging Research Institute, Binzhou Medical University Department of Radiology, Yantai Yuhuangding Hospital, Medical College of Qingdao University, Yantai, Shandong, China.
This case report details the first instance of abdominal cocoon accompanied by multiple peritoneal loose bodies in a 47-year-old male. The rare condition required surgical intervention for small bowel obstruction.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Pathology
Background:
- Abdominal cocoon and peritoneal loose body are rare abdominal pathologies.
- This study presents a unique co-occurrence of these two conditions.
Observation:
- A 47-year-old male presented with acute abdominal pain and distension.
- Imaging revealed small bowel obstruction due to encapsulation by a fibrous membrane, alongside multiple peritoneal loose bodies.
Findings:
- Exploratory laparotomy confirmed the diagnosis of abdominal cocoon.
- Histopathological examination of pelvic nodules verified the presence of peritoneal loose bodies.
Implications:
- This case highlights the importance of considering co-existing rare abdominal pathologies.
- It expands the understanding of abdominal cocoon presentations and associated conditions.
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