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Abdominal cocoon is a rare cause of intestinal obstruction commonly seen in adolescent girl or adults of young age group in tropics; however its occurrence in elderly male is rare. Moreover, fecaloma although described in setting of megacolon, it has not been reported for small bowel in presence of cocoon abdomen. Here, we report a rare combination of fecaloma and cocoon abdomen causing intestinal obstruction in an elderly male diagnosed preoperatively by Contrast Enhanced CT (CECT) abdomen and operated successfully by surgery.