We describe a series of 18 cases of abdominal cocoon in patients presenting with features of small intestinal obstruction or perforative peritonitis, nine of whom had tubercular etiology while the rest were idiopathic. Manifestations of abdominal tuberculosis such as mesenteric abscesses, enlarged and caseating mesenteric lymph nodes, and tubercles over the bowel serosa were found in only 55% patients whowere ultimately diagnosed to have Tubercular etiology. We conclude that a high index of suspicion forthis rare cause of a common surgical emergency is desirable.

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Nemalidinne Keerthi

Junior Resident, Department of General Surgery,

Sri Devaraj Urs Medical College and Research Centre, Tamaka Kolar