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Updated: Mar 7, 2026

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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.

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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.

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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.