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Small bowel obstruction due to encapsulation and abnormal artery
1Department of General Surgery, Airedale General Hospital, Keighley, West Yorkshire, UK.
Postgraduate Medical Journal
|February 1, 1994
Summary
Peritoneal encapsulation is a rare condition. Surgical excision of the peritoneal sac and division of tight bands are recommended when incidentally found during laparotomy, especially when causing small bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Peritoneal encapsulation is a rare congenital anomaly where the small intestine is encased in a sac of peritoneum.
- It is often associated with intestinal malrotation, increasing the risk of complications like small bowel obstruction.
Observation:
- This report details a case of peritoneal encapsulation presenting with small bowel obstruction.
- This is the third reported case with this specific complication, highlighting its infrequent but significant association.
Findings:
- In this case, an abnormal artery was identified as the cause of the small bowel obstruction.
- The study supports existing literature linking bowel malrotation to peritoneal encapsulation.
Implications:
- The findings reinforce the recommendation for surgical intervention upon incidental discovery of peritoneal encapsulation during laparotomy.
- Surgical treatment involves excising the peritoneal sac and dividing obstructing bands, aiming to prevent or resolve complications such as small bowel obstruction.