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Peritoneal encapsulation in childhood. Case report, embryologic analysis, and review of literature
American Journal of Surgery
|November 1, 1979
Insights
The first pediatric case of peritoneal encapsulation causing small bowel obstruction is presented. This rare condition, previously only documented in asymptomatic adults, requires specific surgical approaches for effective management.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Medical Case Reports
Background:
- Peritoneal encapsulation is a rare congenital anomaly where the small bowel is abnormally encased within a peritoneal sac.
- This condition has been infrequently reported, primarily in asymptomatic adult patients.
Observation:
- This report details the first pediatric case of mechanical small bowel obstruction secondary to peritoneal encapsulation.
- The patient presented with symptoms indicative of acute intestinal obstruction.
Findings:
- The study describes the embryogenetic basis of peritoneal encapsulation, offering insights into its developmental origins.
- Diagnostic challenges and characteristic imaging findings are discussed.
Implications:
- The findings highlight the importance of considering peritoneal encapsulation in the differential diagnosis of pediatric small bowel obstruction.
- Recommendations for surgical recognition and management strategies are provided to improve patient outcomes.
Abstract:
The first reported case of peritoneal encapsulation causing mechanical small bowel obstruction in a child is described. So far, only seven asymptomatic adult patients with this anomaly have been reported on. The embryogenetic basis is discussed. Methods of operative recognition and surgical management are suggested.