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Peritoneal encapsulation in a patient with incomplete situs inversus
Volkan Ince1, Abuzer Dirican, Mehmet Yilmaz
1Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 13, 2012
Summary
Peritoneal encapsulation (PE) is a rare congenital condition diagnosed via CT scans. This case highlights PE in a patient with situs inversus, leading to emergency surgery for ileocaecal ischemia.
Area of Science:
- Congenital abnormalities
- Gastrointestinal surgery
- Medical imaging
Background:
- Peritoneal encapsulation (PE) is an extremely rare congenital anomaly.
- It involves abnormal midgut loop return during embryonic development.
- PE can be associated with other congenital anomalies, such as incomplete situs inversus.
Observation:
- A 71-year-old male presented with peritonitis symptoms.
- Abdominal CT revealed characteristic features of PE syndrome.
- The patient had a history of incomplete situs inversus.
Findings:
- Exploratory laparotomy confirmed PE and ileocaecal ischemia due to arterial occlusion.
- Surgical intervention involved excision of the PE capsule and affected bowel segment.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case underscores the importance of preoperative diagnosis of PE using CT scans.
- Early recognition and surgical management are crucial for favorable outcomes in PE.
- Understanding PE in the context of situs inversus aids in surgical planning and patient care.
