Abdominal cacoon or Encapsulating Sclerosing peritonitis involves having intra-abdominal organs being surrounded by a dense fibrous, collagenous tissue creating a cacoon [1]. It’s a rare cause of intestinal obstruction with less than 150 cases reported, its etiology is less known however it has been linked to inflammatory disease like Tuberculosis and pelivic inflammatory disease, history of previous abdominal surgery [2-5]. Previous studies reported cases primarily involving young females, but a number of cases involving middle age and elderly men are being reported