Congenital peritoneal encapsulation—a rare entity presented with small bowel obstruction

Tojal, André; Marques, João Heitor; Coelho, Sandra; Ferreira, Maria João; Carrilho, Noel; Horta-Oliveira, António; Casimiro, Carlos

doi:10.1093/jscr/rjaa601

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…9 However, CT may demonstrate other congenital anomalies, a pinwheel pattern of small bowel loops known as the Helix Sign, swirling found with a partial volvulus, or a partial small bowel obstruction. 2,11,12 The abnormal positioning of the duodenum anterior to the SMA in our patient made us consider a congenital anomaly as the etiology of his symptoms.…”

Section: Discussionmentioning

confidence: 77%

Congenital peritoneal encapsulation and superior mesenteric vein thrombosis: A case report

Davis

Stahlfeld

Sell

2022

SAGE Open Medical Case Reports

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Congenital peritoneal encapsulation is a rare entity characterized by an accessory peritoneal membrane that forms during embryonic development. Congenital peritoneal encapsulation is generally asymptomatic but can cause intermittent, colicky abdominal pain related to subacute small bowel obstruction. Diagnosis is made incidentally or upon surgical exploration for chronic abdominal complaints as preoperative imaging is typically nonspecific. We report a case of a 49-year-old male with epigastric abdominal pain, constipation, and superior mesenteric vein thrombosis on imaging. Upon exploratory laparotomy, the small bowel was covered by an accessory peritoneal sac consistent with congenital peritoneal encapsulation. The accessory sac was excised completely, and the patient recovered well. Although rarely causing significant gastrointestinal symptoms, congenital peritoneal encapsulation is an anomaly that requires surgical intervention.

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Section: Discussionmentioning

confidence: 77%

Congenital peritoneal encapsulation and superior mesenteric vein thrombosis: A case report

Davis

Stahlfeld

Sell

2022

SAGE Open Medical Case Reports

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“…CT may show small clumping formed by the peritoneal membrane. Dilated small intestines form a spiral sign (1,12). Its treatment is surgical excision of the peritoneal membrane.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital peritoneal encapsulation (CPE) is a rare condition in which part or all of the small intestine is surrounded by an accessory peritoneal layer congenitally (1). Although it rarely causes small bowel obstruction, it is usually asymptomatic and the diagnosis is mostly made incidentally during surgery or autopsy (2).…”

Section: Introductionmentioning

confidence: 99%

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

Dalbaşı¹,

Gedik

2023

Journal of Emergency Medicine Case Reports

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Congenital peritoneal encapsulation (CPE) is a rare condition in which part or all of the small intestine is surrounded by an accessory peritoneal layer congenitally. Although it rarely causes small bowel obstruction, it is usually asymptomatic and the diagnosis is mostly made incidentally during surgery or autopsy. A 41-year-old male patient presented to the emergency department with diffuse and cramping pain lasting for approximately 8 hours. He had nausea and vomiting. No gas or faeces output for 72 hours. Abdominal computed tomography (CT) showed dilated abdominal small intestines and findings consistent with obstruction. The patient was hospitalized with the diagnosis of ileus. Decompression was performed with a nasogastric tube. It was decided to perform diagnostic laparoscopic surgery for the patient who did not respond to 24-hour observation and medical treatment. Laparoscopic examination revealed a thin membrane covering the small intestine from the terminal ileum to the middle of the jejunal segment on the right side of the abdomen. All adhesions were separated, the small intestines were released from the pressure of the accessory peritoneum and placed in the abdomen. The patient was discharged without complications on the 6th postoperative day. CPE should be considered in small bowel obstructions of unexplained etiology. Laparoscopic evaluation is effective in diagnosing CPE, but in cases where the long small bowel segment is affected, as in our case, we think that it would be appropriate to switch to open surgery to prevent morbidity, as well as the necessity of separating all bands

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“…In rare cases, as described by Casas et al, the membrane only encases some of the small bowel loops [28]. It occurs more frequently in young male patients and may be associated with intestinal malrotation [1,4]. The fixation points of this peritoneal sac are laterally the ascending and descending colon, the transverse colon superiorly, and the posterior parietal peritoneum inferiorly [2].…”

Section: Discussionmentioning

confidence: 99%

Congenital Peritoneal Encapsulation: A Literature Review of a Rare Pathology

Chowdhury¹,

Tata²,

Shah³

et al. 2022

Cureus

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Congenital peritoneal encapsulation (CPE) is a rare, congenital entity in which an accessory peritoneal membrane surrounds the small bowel. This condition is usually asymptomatic and rarely causes intestinal obstruction. Despite the rare cause of intestinal obstruction, it has excellent post-operative recovery. There is no gold standard approach for investigating CPE; however, a computerized tomography scan of the abdomen might be helpful. Furthermore, diagnostic laparoscopy could be considered an adjunct. This report highlights the rare congenital anomaly as a cause of intestinal obstruction.

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Congenital peritoneal encapsulation—a rare entity presented with small bowel obstruction

Cited by 5 publications

References 9 publications

Congenital peritoneal encapsulation and superior mesenteric vein thrombosis: A case report

Congenital peritoneal encapsulation and superior mesenteric vein thrombosis: A case report

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

Congenital Peritoneal Encapsulation: A Literature Review of a Rare Pathology

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