Appearance of “collagen balls” in ascitic fluid cytology with abdominal cocoon (encapsulating peritonitis)

Acute presentation of cocoon abdomen as intestinal obstruction mimicking with strangulated eventration: A case report

“…Clinically, SEP is a rare cause of acute or subacute intestinal obstruction, acknowledged in 81 % of reported cases of abdominal cocoon [ 27 ]. While a palpable bowel mass may manifest in 63 % of cases, the accurate preoperative diagnosis is often elusive [ 28 ].…”

“…The most common postoperative complications include early postoperative small bowel obstruction (EPSBO), wound site infections, intra-abdominal collections, enterocutaneous fistulas, short-bowel syndrome, and bowel perforation [ [10] , [11] , [12] , [13] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] ]. These complications can be attributed to several factors, including acute presentation, delayed intraoperative diagnosis, extensive adhesiolysis, and bowel manipulation [ [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] ].…”