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[Encapsulating peritonitis disclosing primary melanoma of the small intestine: a case report]

H Bedioui1, K Chatti, S Chahbani

  • 1Service de chirurgie générale, hôpital militaire de Tunis, Tunisie.

Annales De Chirurgie
|June 12, 2004
PubMed

Insights

Encapsulating peritonitis, a rare condition causing fibrous encapsulation, is poorly understood. This case highlights a primary small bowel melanoma as an exceptional cause.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • Encapsulating peritonitis is a rare chronic condition characterized by a thick fibrotic membrane.
  • Its physiopathology remains poorly understood, with diagnosis often occurring during surgery.

Observation:

  • A 36-year-old patient presented with an abdominal mass.
  • Investigations revealed a small bowel tumor with entrapped intestinal loops within a capsule.

Findings:

  • The diagnosis of encapsulating peritonitis was confirmed during surgery.
  • The underlying cause was identified as a primary malignant melanoma of the small bowel, an exceptionally rare finding.

Implications:

  • This case expands the differential diagnosis for abdominal masses.
  • It underscores the importance of considering rare etiologies in complex gastrointestinal presentations.
  • Further research into the physiopathology of encapsulating peritonitis is warranted.

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