Peritoneal encapsulation as a cause for recurrent abdominal pain in a 16‐year‐old male

Stewart, David A.; Rampersad, Rajay; King, Sebastian K.

doi:10.1111/ans.12907

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…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). During surgery it is very important to recognize the secondary fold of peritoneum and to remove as much as possible.…”

Section: Discussionmentioning

confidence: 99%

“…There are at least two other pathologies that have been wrongly reported as peritoneal encapsulation, but upon further inspection, have been categorised as having different etiologies: sclerosing encapsulating peritonitis (SEP) and the abdominal cocoon (7,11,12). SEP is a condition that presents itself as a similar encapsulation of the small bowel, but with a thicker wall, more fibrous, of greywhite colour, being directly caused by certain specific aetiological factors.…”

Section: Discussionmentioning

confidence: 99%

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Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Toma¹,

Giulea²,

Enciu³

et al. 2019

chr

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Toma¹,

Giulea²,

Enciu³

et al. 2019

chr

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show abstract

“…This has led to some confusion in the literature in regards to appropriate nomenclature. When there is no known causative factor causing the development of a fibrous capsule, the disease is termed abdominal cocoon, with sub-clinical peritonitis of unknown cause postulated to be the aetiological basis [ 4 , 8 , 9 ]. When a clear aetiological factor is present, the term EPS may be used.…”

Section: Discussionmentioning

confidence: 99%

“…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%

Peritoneal encapsulation as a cause of chronic recurrent abdominal pain in a young male

McMahon

Dave

Zahid

et al. 2018

Journal of Surgical Case Reports

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Peritoneal encapsulation: a rare cause of small bowel obstruction

Renko

Mirkin

Cooper³

2019

BMJ Case Rep

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Peritoneal encapsulation syndrome (PES) is a rare cause of small bowel obstruction (SBO) in patients with no prior history of abdominal surgery. First described by Cleland in 1868, PES is a congenital condition characterised by small bowel encasement in an accessory, but otherwise normal peritoneal membrane. 1 2 A result of abnormal rotation of the midgut during early development, the condition causes fibrous encapsulation of the intestines, thus preventing bowel distention.3 While preoperative diagnosis is difficult, several case reports have described clinical and imaging signs that can help clinicians with not only recognising the condition but also preparing appropriately for perioperative discovery of anatomical variants. 3 4

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Peritoneal encapsulation as a cause for recurrent abdominal pain in a 16‐year‐old male

Cited by 6 publications

References 9 publications

Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Peritoneal encapsulation as a cause of chronic recurrent abdominal pain in a young male

Peritoneal encapsulation: a rare cause of small bowel obstruction

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