Peritoneal encapsulation – an unexpected cause of acute intestinal obstruction

Arumugam, Praveen Kumar; Dalal, Ashwani Kumar

doi:10.1016/j.jviscsurg.2017.06.001

Cited by 14 publications

(14 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the first description of peritoneal encapsulation in 1868, only 30 instances have been reported in the medical literature. 8 As none of the reported cases we had access to described peritoneal encapsulation with an associated Meckel diverticulum causing acute small bowel obstruction, we believe this case report to be the first description of this phenomenon.…”

Section: Discussionmentioning

confidence: 65%

Peritoneal Encapsulation With Incarcerated Meckel Diverticulum Contributing to Small Bowel Obstruction

Robbins¹,

Kooperkamp

Corsetti³

2018

TOJ

View full text Add to dashboard Cite

Background: Meckel diverticulum is the most common congenital gastrointestinal malformation, but it is rarely symptomatic. Peritoneal encapsulation is a rare abnormality of embryonic development and may present with obstruction, although it too is usually asymptomatic. Case Report: We report the case of an 82-year-old male who presented with symptoms and imaging findings consistent with small bowel obstruction. During laparotomy, a peritoneal encapsulation was observed containing the majority of the small bowel. A Meckel diverticulum was discovered tethered to the small bowel mesentery by a mesodiverticular band, preventing egress from the accessory peritoneal membrane and appearing to be the cause of the obstruction. Conclusion: This patient had 3 rare findings-peritoneal encapsulation, Meckel diverticulum, and a mesodiverticular bandcontributing to cause an acute small bowel obstruction. The presence of all of these features in one patient is extremely rare, and we believe this is the first description of such a phenomenon.

show abstract

Section: Discussionmentioning

confidence: 65%

Peritoneal Encapsulation With Incarcerated Meckel Diverticulum Contributing to Small Bowel Obstruction

Robbins¹,

Kooperkamp

Corsetti³

2018

TOJ

View full text Add to dashboard Cite

show abstract

“…Peritoneal encapsulation is a rare anatomical finding, where an abnormal return of the midgut into the abdominal cavity of the fetus during the 12 th week of gestation causes the covering layer of yolk sac to encapsulate the small bowel instead of remaining in the umbilical pedicle (2,3). The peritoneal accessory sac covers the small bowel partially or entirely, can be covered by the greater omentum (but it can also be absent), and usually extends from the ascending and descending colon laterally, superiorly to the mid transverse colon and inferiorly to the pelvic parietal peritoneum (4)(5)(6). This pathology should be taken into consideration when a patient with no previous surgical history presents with symptoms indicating small bowel obstruction, with a higher degree of suspicion if the patient reveals past episodes of recurring abdominal pain with no discernable cause, or upon physical examination, asymmetrical abdominal distension is observed (7,8).…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Toma¹,

Giulea²,

Enciu³

et al. 2019

chr

View full text Add to dashboard Cite

Peritoneal encapsulation (PE) is a rare anatomic anomaly which occurs due to an accessory peritoneal sac covering the small bowel which can cause chronic recurrent abdominal pain and even small bowel obstruction, most often in children or patients with no previous surgical history. The diagnosis is usually made during surgery, but recently it has been suggested that mindful examination of the abdominal CT may be helpful in considering PE beforehand. We present the case of a 21-year old patient who was admitted due to intense abdominal pain, asymmetrical abdominal distension, air fluid levels on the abdominal X-ray, but no specific findings on the abdominal CT. He underwent emergency surgery and PE was found and the peritoneal sac was excised. The postoperative course was uneventful. Histopathologic examination of the specimen confirmed the diagnosis. PE is often misdiagnosed as abdominal cocoon or sclerosing encapsulating peritonitis, but it is a pathology with a much lower rate of recurrence and postoperative complications, which can be treated successfully if the surgeon is aware of this pathology when making the differential diagnosis.

show abstract

“…It is an extremely rare phenomenon which is most often discovered incidentally intra-operatively. However, it may also present with acute small bowel obstruction [ 2 , 3 ] or, less commonly with non-specific chronic abdominal pain [ 4 ], as in this case. This report also includes a general discussion about the aetiology and the entity of conditions to which CPE belongs.…”

Section: Introductionmentioning

confidence: 99%