Abdominal cocoon accompanied by multiple peritoneal loose body

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Abstract

Rationale:

Abdominal cocoon and peritoneal loose body are both rare abdominal diseases.

Patient concerns:

The patient reported in this case was a 47-year-old man who suffered from abdominal pain and distension for 3 days.

Diagnosis:

X-ray, computed tomography, and magnetic resonance imaging revealed multiple peritoneal loose body and small bowel obstruction, characterized by a total encapsulation of the small bowel with a fibrous membrane.

Interventions:

The patient underwent surgical treatment and exploratory laparotomy confirmed the diagnosis of abdominal cocoon.

Outcomes:

Histopathological examination of pelvic nodules confirmed peritoneal loose body.

Lessons:

To our knowledge, the herein reported case is the first abdominal cocoon that was accompanied by multiple peritoneal loose body.

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