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Small bowel obstruction due to encapsulation and abnormal artery

O A Adedeji1, W A McAdam

  • 1Department of General Surgery, Airedale General Hospital, Keighley, West Yorkshire, UK.

Postgraduate Medical Journal
|February 1, 1994
PubMed

Insights

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.

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