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Congenital peritoneal encapsulation.

Diana Teixeira1, Vítor Costa1, Paula Costa1

  • 1Diana Teixeira, Vítor Costa, Paula Costa, Carlos Alpoim, Pinto Correia, General Surgery Department, Centro Hospitalar do Alto Ave, 4800 Guimarães, Portugal.

World Journal of Gastrointestinal Surgery
|September 2, 2015
PubMed
Summary
This summary is machine-generated.

Peritoneal encapsulation (PE) is a rare congenital anomaly where an accessory membrane covers the small bowel. This case highlights PE presenting as a rare cause of intestinal obstruction in a young adult.

Keywords:
Intestinal obstructionPeritoneal encapsulationSurgery

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Area of Science:

  • Gastroenterology
  • Congenital Malformations
  • Surgical Anatomy

Background:

  • Peritoneal encapsulation (PE) is a rare congenital anomaly characterized by an accessory peritoneal membrane forming a sac around the small bowel.
  • While often asymptomatic and incidentally discovered, PE can rarely manifest clinically.

Observation:

  • A 25-year-old male presented with acute abdominal pain, nausea, vomiting, and constipation.
  • Physical examination revealed abdominal distension, and radiography showed small bowel distension and fluid levels.
  • Laparoscopic surgery was converted to open procedure due to total peritoneal encapsulation of the small bowel.

Findings:

  • The surgery revealed a mesenteric root rotation causing small bowel twisting and obstruction within the accessory peritoneal sac.
  • The patient underwent successful surgical correction and had an uneventful postoperative recovery.

Implications:

  • This case underscores the importance of considering PE in the differential diagnosis of intestinal obstruction, especially when other causes are absent.
  • Increased awareness of PE among clinicians may improve diagnosis and management of this rare congenital condition.
  • Understanding the embryological basis of PE is crucial for recognizing its potential for causing complex surgical presentations.