Abdominal cocoon syndrome (ACS) also known as sclerosing encapsulating peritonitis (SEP) is a rare condition that is generally identified in young females in tropical countries. The exact etiology is still unknown. Timely and accurate imaging and diagnosis is important to avoid morbidity and mortality. Preoperative diagnosis is difficult. It is usually diagnosed during surgery. Simple excision of the membrane and lysis of the adhesions produces optimal results. Breaking of adhesions needs to be done carefully; to prevent damage to serosal surface and perforation. Herein, we report the case of recurrent intestinal obstruction in a young female patient that was secondary to an abdominal cocoon and was managed surgically successfully in our hospital.

Cystic lymphangiomas are congenital lymphatic malformations that most commonly develop in the neck, axilla, mediastinum and retroperitoneum. They occur usually in children but occasionally in adults. The scrotum is a very rare site for this tumor and only few cases have been reported in the literature. We report the case of a scrotal lymphangioma in a 24-year-old male patient who developed painless scrotal swelling. Typical sonography and MRI findings are shown. Surgical excision and histopathology confirmed the diagnosis.