Peritoneal encapsulation syndrome: A case report and literature review

Mbanje, Chenesa; Forrester, Joseph D.; Mungazi, Simbarashe Gift

doi:10.1016/j.ijscr.2017.10.058

Cited by 15 publications

(29 citation statements)

References 5 publications

(14 reference statements)

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“…While overall prognosis of PES is excellent and recurrence has yet to be described, it should not be considered a harmless condition. Not only does the condition pose an inherent risk of strangulation and consequent bowel necrosis requiring partial excision, but acute aortic occlusion secondary to extrinsic compression from the bowel sac has also been described 6 23…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

Peritoneal encapsulation: a rare cause of small bowel obstruction

Renko

Mirkin

Cooper³

2019

BMJ Case Rep

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“…CT may reveal aggregation of small bowel loops involved by the peritoneal membrane and signs of intestinal obstruction [ 1 , 4 ]. A helical pattern of the distended small bowel has been described—helix sign [ 1 , 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment involves excision of the peritoneal membrane and lysis of adhesions from its fixation points, since the bowel loops within the capsule lie freely without adherence to each other [ 1 , 2 , 5 , 7 ]. Histological examination of the membrane reveals normal peritoneum with fibrovascular tissue covered by mesothelium, without inflammation [ 1 , 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Its diagnosis is usually accidental, during surgery or autopsy [ 1 ]. Abdominal cocoon syndrome (ACS) and sclerosing encapsulating peritonitis (SEP) are also conditions associated with encapsulation of the small bowel, the first being idiopathic and the second associated with chronic peritoneal dialysis [ 2 , 3 ]. Although there are some cases described in the international literature with presentation of intestinal obstruction, this is extremely rare [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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

Tojal

Marques

Coelho

et al. 2021

Journal of Surgical Case Reports

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Congenital peritoneal encapsulation is a rare congenital malformation in which all or part of the small bowel is covered by a thin accessory peritoneal membrane. Despite being usually asymptomatic and an incidental finding during surgery or autopsy, there is a small number of reports in the literature whose diagnosis was established in the context of intestinal obstruction. The authors review the topic and describe a case report undergoing surgery for intestinal obstruction. Intraoperatively, there was a partial peritoneal encapsulation of the small bowel with signs of intestinal malrotation. Peritoneal membrane excision, terminal ileum release and complementary appendicectomy were performed. There was a favorable clinical evolution in the postoperative period. Although rare, it is important to remember this entity in the differential diagnosis of patients with intestinal obstruction, in the absence of other etiologic factors.

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“…Histologically, the sac of PE is the crystalloid peritoneum, which is normal, has no fibrosis and no adhesion with the intestine. However, AC often presents with omental dysplasia or absence, and the sac is formed of thickened collagen and fibrous tissue, which may be accompanied by nonspecific chronic inflammation (26,32,33). In addition, AC also needs to be identified with tuberculosis, peritoneal mesothelioma and peritoneal pseudomyxoma (27,32,33).…”

Section: Discussionmentioning

confidence: 99%

Imaging and treatment of idiopathic abdominal cocoon in 9 patients

Rui

Yang

et al. 2019

Exp Ther Med

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The aim of the current study was to investigate the imaging features of abdominal cocoon (AC), the methods of diagnosis and treatment of AC and improve understanding of AC. To do this, the current study retrospectively analyzed the clinical data and imaging findings of nine patients with AC. The clinical manifestations included intestinal obstruction in six out of the nine cases of AC, which included two cases of bowel strangulation and five cases of soft masses in the abdomen. Imaging features of AC included the following: i) Bowel loops were usually present in a fixed cluster; ii) bowel loops were encapsulated partially or totally by a thickening fibrous membrane-like ‘cocoon’; iii) bowel wall thickened in the ‘cocoon’, and the bowel loops and sac adhered; iv) loculated ascites in the ‘cocoon’; v) abnormal clustering of the mesenteric vasculature, hypoplasia of the omentum majus was present or absent; and vi) Ileus occurred in some cases. The features of a plain abdominal X-ray, a gastrointestinal barium meal series and ultrasonography lacked specificity. The results of CT in eight out of nine cases of AC were consistent with the surgical findings. Surgery was the first choice of therapy. All cases were treated surgically, showing that the bowel loops were encapsulated partially or totally by a thickened fibrous membrane. All cases received operations including partial or total excision of the membrane and enterolysis. In conclusion, CT may be highly valuable in the preoperative diagnosis of AC.

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Peritoneal encapsulation syndrome: A case report and literature review

Abstract: HighlightsPeritoneal encapsulation syndrome is rare.A few cases have been reported in literature.We report on an eleven-year-old boy who presented with an acute abdomen.

Cited by 15 publications

References 5 publications

Peritoneal encapsulation: a rare cause of small bowel obstruction

Peritoneal encapsulation: a rare cause of small bowel obstruction

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

Imaging and treatment of idiopathic abdominal cocoon in 9 patients

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