Abstract
BACKGROUND: Sclerosing encapsulating peritonitis (SEP), also known as abdominal cocoon syndrome, is rare in children. The etiology of primary SEP is believed to be associated with retrograde menstruation or viral peritonitis in young adolescent girls, whereas secondary SEP refers to SEP caused by other factors such as surgery, peritoneal dialysis, or tuberculosis. Secondary SEP is rare and lack diagnostic specificity in children. Given the potential to cause acute intestinal obstruction, surgical intervention is often required. CASE SUMMARY: We report the case of a 10-year-old girl with secondary SEP who was admitted to our center with acute bowel obstruction. CONCLUSION: In this report, we emphasized the imaging manifestations, diagnosis, and operative management of the case. Although postoperative SEP in children is rare, the long-term prognosis is favorable when accompanied with accurate diagnosis, appropriate perioperative management, and timely follow-up.