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Congenital peritoneal encapsulation-a rare entity presented with small bowel obstruction
André Tojal1, Júlio Marques1, Sandra Coelho1
1Department of General Surgery, Centro Hospitalar Tondela-Viseu, E.P.E., Av. Rei D. Duarte, Viseu, Portugal.
Journal of Surgical Case Reports
|February 5, 2021
Summary
Congenital peritoneal encapsulation, a rare condition where a membrane covers the small bowel, can cause intestinal obstruction. Surgical intervention led to a favorable outcome in this case.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Congenital peritoneal encapsulation is a rare congenital malformation.
- It involves a thin peritoneal membrane covering the small bowel, often found incidentally.
Observation:
- Diagnosis is infrequently established preoperatively, usually in cases of intestinal obstruction.
- A case of partial peritoneal encapsulation with intestinal malrotation causing obstruction is presented.
Findings:
- Surgical findings included a partial peritoneal encapsulation and signs of intestinal malrotation.
- The patient underwent peritoneal membrane excision, terminal ileum release, and appendicectomy.
Implications:
- This condition should be considered in the differential diagnosis of intestinal obstruction when other causes are absent.
- Prompt diagnosis and surgical management can lead to favorable clinical outcomes.
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