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Congenital peritoneal encapsulation complicated by closed-loop obstruction and bowel ischemia: a case report
Majd Oweidat1, Samer Abdallah2, Haya Taha3
1College of Medicine, Hebron University, Hebron, West Bank, Palestine.
International Journal of Surgery Case Reports
|May 6, 2025
Summary
Congenital peritoneal encapsulation (CPE) can cause severe bowel obstruction and ischemia, a previously unreported complication. Early surgical intervention is vital for preventing serious outcomes in patients with this rare condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Developmental Biology
Background:
- Congenital peritoneal encapsulation (CPE) is a rare anomaly where an accessory membrane envelops the small bowel.
- CPE typically presents with mild, intermittent abdominal pain or remains asymptomatic.
- Bowel obstruction is a rare complication, and ischemia has not been previously reported.
Observation:
- A patient with a history of recurrent abdominal pain presented with symptoms of closed-loop small bowel obstruction.
- Exploratory laparotomy revealed a thick peritoneal membrane encapsulating the small bowel, indicative of CPE.
- Bowel ischemia was identified, necessitating surgical resection of a segment of the ileum.
Findings:
- Histopathology confirmed a stenotic fibrous band associated with mild serositis, consistent with CPE.
- The patient experienced an uneventful recovery following surgical intervention and bowel resection.
- This case highlights an unreported complication of CPE: bowel ischemia secondary to closed-loop obstruction.
Implications:
- CPE should be considered in the differential diagnosis of unexplained bowel obstructions.
- Prompt surgical management is essential to prevent severe complications like bowel ischemia.
- This case expands the known spectrum of clinical presentations and complications associated with CPE.
Keywords:
Bowel ischemiaClosed-loop obstructionCongenital peritoneal encapsulationSmall bowel obstructionMore Related Videos
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