Download cocoone10/4/2023 ![]() ![]() Given the presence of an abdominal mass with a possible tumour origin, ultrasound and abdominal-pelvic CT scan were ordered ( Fig. The patient, who was from Pakistan, had been in our country for 4 days. During abdominal examination, a hard, painful mass was palpated in the hypogastrium, which occupied the entire lower hemiabdomen. She reported having lost 7 kg in 2 months. We present the case of a 14-year-old patient who came to the Emergency Department with colic abdominal pain located in the hypogastrium and bilious vomiting. ![]() Surgery is essential to take membrane samples that confirm the diagnosis for treatment. Symptoms are nonspecific and preoperative diagnosis is extremely difficult. It affects young and adolescent girls in tropical and subtropical countries. The presence of fibrous membranes that encompass the intestines, forming a sort of butterfly cocoon, is a very rare cause of intestinal obstruction in our setting. ![]()
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