Emrah Akın1, Fatih Altıntoprak1, Emre Gönüllü2, Fahri Yılmaz3, Yasin Alper Yıldız3

1Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Türkiye
2Department of General Surgery, Sakarya Training and Research Hospital, Sakarya, Türkiye
3Department of Pathology, Sakarya University Faculty of Medicine, Sakarya, Türkiye


Abdominal cocoon syndrome (ACS) is a rare situation and has an unknown etiology. Patients are characterized by the development of intraabdominal fibrotic tissue surrounding the small intestine as a result of chronic inflammation of the peritoneum. Small bowel perforations due to foreign bodies are not frequent in clinical practice. The coexistence of these two rare situations are extremely uncommon. In this article, the radiological findings and treatment process of the patient who presented with acute abdomen syndrome findings and the association of these two rare conditions are presented.

Keywords: Abdominal cocoon syndrome, fishbone, perforation, intestinal obstruction

Cite this article as: Akın E, Altıntoprak F, Gönüllü E, Yılmaz F, Yıldız YA. Coexisting of small bowel perforation and abdominal cocoon syndrome: A case report. Turk J Surg 2023; 39 (3): 274-277.


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - E.A., F.A.; Design - E.A., F.A.; Supervision - E.G.; Materials - E.G., Y.A.Y.; Data Collection and/or Processing - E.G., Y.A.Y., F.Y.; Analysis and/or Interpretation - E.A., F.A., F.Y., E.G.; Literature Search - E.A., E.G.; Writing Manuscript - E.A., F.A.; Critical Reviews - F.A.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.