Encapsulating peritoneal sclerosis: A case report describing the surgical management of such a dilemma

Abdominal Cocoon syndrome is a rare entity of disease that is characterized by an encapsulation of the small bowel resulting in the development of tissue fibrosis of the peritoneal surface. This is a 27 years old male vitally stable with a background of end-stage renal disease (ESRD) who presented to the Emergency department (ED) multiple times with ileus-like symptoms, leukocytosis and critically elevated creatinine soon after, we performed a Computed tomography (CT) that concluded Loculated fluid collections with thickening and enhancement of the peritoneal reflections. The patient was taken to the Operating room (OR) for a laparoscopic adhesiolysis and resection of the cocoon; Encapsulating peritoneal sclerosis (EPS) is a serious dilemma, imaging can raise suspicion of diagnosis and surgery is a crucial management for such an entity with nonspecific clinical and radiological features.