Congenital peritoneal encapsulation

World Journal of Gastrointestinal Surgery
Diana TeixeiraPinto Correia

Abstract

Peritoneal encapsulation (PE) is a rare congenital malformation, characterized by a thin accessory peritoneal membrane which covers all or part of the small bowel, forming an accessory peritoneal sac. Most cases are asymptomatic and diagnosed incidentally during surgery and/or autopsy. Clinical presentation with intestinal obstruction is extremely rare and we report a case. A 25-year-old male, referred to emergency department with diffuse abdominal pain, crampy, with 8 h evolution, associated with nausea, vomiting and constipation in the last 48 h. The abdominal examination revealed an asymmetric and fixed distension, with hard consistency on palpation of lower abdominal quadrants. The abdominal radiography reveals a small bowel distension and fluid levels. Submitted to laparoscopic surgery that recourse to conversion because there is a total peritoneal encapsulation of the small bowel. After opening the peritoneal sac, we find a rotation of mesentery, at its root, conditioning twisting of small bowel and consequently occlusion. Uneventful postoperative with discharged at the 6(th) day. The PE is a very rare congenital anomaly characterized by abnormal bowel back into the abdominal cavity in the early stages of development. You...Continue Reading

Citations

Aug 16, 2016·International Journal of Surgery Case Reports·Menelaos ZoulamoglouTheodoros Mariolis-Sapsakos
Jan 10, 2018·ANZ Journal of Surgery·Zhen Hao AngMark Muhlmann
Jun 1, 2019·World Journal of Gastroenterology : WJG·Aneesh DaveAssad Zahid
Apr 18, 2019·BMJ Case Reports·Abagayle E RenkoAmanda B Cooper
Oct 24, 2020·Curēus·Jennifer C AsotibeVikram Kotwal
Feb 6, 2021·Journal of Surgical Case Reports·André TojalCarlos Casimiro
Nov 11, 2021·The American Surgeon·Alissa Doll, Leander Grimm
Nov 18, 2021·The Medico-legal Journal·Andrea CioffiBenedetta Baldari

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