Related Experiment Video
Updated: Nov 30, 2025

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
[A man with swollen abdomen, abdominal pain and nausea]
J Roubos1,2, N Maliko1, G M van der Wilden1
1Alrijne Ziekenhuis, afd. Heelkunde, Leiderdorp.
Insights
Congenital peritoneal encapsulation can cause acute intestinal obstruction. Surgical detorsion and adhesiolysis resolved the obstruction in this rare case.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Congenital peritoneal encapsulation is a rare condition where an accessory sac forms around the small intestine.
- This malformation can predispose individuals to serious complications like bowel obstruction.
Observation:
- A 45-year-old male presented with symptoms of acute intestinal obstruction.
- Imaging and clinical evaluation revealed congenital peritoneal encapsulation as the cause.
Findings:
- The patient's obstruction was caused by torsion of the accessory peritoneal sac.
- Surgical intervention involving detorsion of the sac and adhesiolysis was performed.
Implications:
- This case highlights congenital peritoneal encapsulation as a treatable cause of acute bowel obstruction.
- Prompt surgical management can lead to positive outcomes in patients with this rare anomaly.
Abstract:
A 45-year-old man presented with acute intestinal obstruction, due to congenital peritoneal encapsulation. This rare malformation leads to an accessory peritoneal sac around all or part of the small bowel. Torsion of this sac can lead to acute bowel obstruction and therefore ischaemia. In this case, detorsion and adhesiolysis resulted in a positive outcome.
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