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Updated: Jun 11, 2026

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis

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Peritoneal encapsulation: a preoperative diagnosis is possible.

V Naraynsingh¹, D Maharaj, M Singh

¹Department of Surgery, General Hospital, Port-of-Spain, Trinidad, West Indies.

Postgraduate Medical Journal

|October 26, 2001

Summary

Peritoneal encapsulation, a rare developmental issue, encases the small intestine in a sac. This leads to fixed abdominal distension and distinct differences in abdominal wall firmness upon palpation.

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Area of Science:

Developmental biology
Gastroenterology
Surgical anatomy

Background:

Peritoneal encapsulation is an extremely rare congenital anomaly.
It involves the small intestine being enclosed within an accessory peritoneal sac.
This sac is typically located between the omentum and mesocolon.

Observation:

The condition presents with a fixed, asymmetrical abdominal distension.
This distension remains constant, unaffected by intestinal peristalsis.
Palpation reveals a noticeable difference in abdominal wall consistency.

Findings:

A dense fibrous layer forms the accessory peritoneal sac.
The fibrous capsule encases the small intestine.
The distended small intestine within the sac has a thin wall.

Implications:

Understanding these clinical signs aids in diagnosing this rare condition.
Accurate diagnosis is crucial for appropriate patient management.
Further research into the embryological origins may reveal insights.