case_images: PMC9596802_01
case_images: (A,B) Abdominal CT scan coronal and axial cut showed small bowel loops clusters at the mid-abdomen and are surrounded by a thick enchanting membrane forming a sac the small bowel loops are arranged radially (Arrow indicates the sac).
case_images: fmed-09-1003775-g0001.jpg
case_images: PMC9596802_01_fmed-09-1003775-g0001.jpg
case_images: F1
case_images: The small bowel was encased by a membrane forming a sac with a small amount of free fluid in it (Figures 1A,B).
case_images: Laparotomy incision showing a thick fibrous membrane encasing the small bowel resembling a cocoon (Arrow indicates the sac).
case_images: fmed-09-1003775-g0002.jpg
case_images: PMC9596802_01_fmed-09-1003775-g0002.jpg
case_images: F2
case_images: He underwent exploratory laparotomy with the intraoperative finding of a thick membrane covering the small bowel (Figure 2); adhesiolysis was done and the sac was excised from the small bowel to the root of the mesentery.
case_images: PMC9596802_02
case_images: (A,B) Abdominal CT scan coronal and axial cut showed multiple dilated fluid-filled small bowel loops involving the jejunum and ilium in the center of the abdominal cavity with thin soft tissue non-enhancing capsule encasing the small bowel loops (Arrow indicates the sac).
case_images: fmed-09-1003775-g0003.jpg
case_images: PMC9596802_02_fmed-09-1003775-g0003.jpg
case_images: F3
case_images: It showed multiple dilated fluid-filled small bowel loops in the center of the abdominal cavity with thin, soft tissue non-enhancing capsule encasing the small bowel loops with mesenteric congestion involving small and large bowel loops with a small amount of free fluid in it (Figure 3).
case_images: Laparotomy incision with wound protector showing a thick fibrous membrane encasing the small bowel resembling a cocoon (Arrow indicates the sac).
case_images: fmed-09-1003775-g0004.jpg
case_images: PMC9596802_02_fmed-09-1003775-g0004.jpg
case_images: F4
case_images: He underwent exploratory laparotomy with the intraoperative finding of thick membrane covering the small bowel (Figure 4); adhesiolysis was done and the sac was excised from the small bowel to the root of the mesentery.