A case of peritoneal encapsulation syndrome

Kumara, Tla Janath; Kollure, SK

doi:10.4038/cmj.v54i1.468

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Patients typically present with acute gastrointestinal symptoms such as abdominal pain, nausea and emesis; however, several reports have described a history of episodic pain that resolved spontaneously in the past 6 11 12. Many reports have also described asymptomatic patients in which the condition was diagnosed either incidentally at laparotomy or found at autopsy 12–17. Though the condition may present as an isolated anomaly, it has also been described with incomplete situs inversus 18…”

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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“…In seven cases, CPE was found incidentally during surgery in asymptomatic patients. These patients were undergoing abdominal surgery for other reasons: namely, colorectal cancer[5,16], obstructive jaundice[7], right adrenal tumour[17], penetrating stab wound injury[26], tubo-ovarian abscess[33] and intra-abdominal haemorrhage[37]. Four cases of CPE were diagnosed at autopsy in patients who had no reported abdominal symptoms or complaints during life[1,20,21,28].…”

Section: Diagnosismentioning

confidence: 99%

Congenital peritoneal encapsulation: A review and novel classification system

Dave

McMahon

Zahid

2019

WJG

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Congenital peritoneal encapsulation (CPE) is a very rare, congenital condition characterised by the presence of an accessory peritoneal membrane which encases a variable extent of the small bowel. It is unclear how CPE develops, however it is currently understood to be a result of an aberrant adhesion in the peritoneal lining of the physiological hernia in foetal mid-gut development. The condition was first described in 1868, and subsequently there have been only 45 case reports of the phenomenon. No formal, systematised review of CPE has yet been performed, meaning the condition remains poorly understood, underdiagnosed and mismanaged. Diagnosis of CPE remains clinical with important adjuncts provided by imaging and diagnostic laparoscopy. Two thirds of patients present with abdominal pain, likely secondary to sub-acute bowel obstruction. A fixed, asymmetrical distension of the abdomen and differential consistency on abdominal palpation are more specific clinical features present in approximately 10% of cases. CPE is virtually undetectable on plain imaging, and is only detected on 40% of patients with computed tomography scan. Most patients will undergo diagnostic laparotomy to confirm the diagnosis. Management of CPE includes both medical management of the critically-unstable patient and surgical laparotomy, partial peritonectomy and adhesiolysis. Prognosis following prompt surgical treatment is excellent, with a majority of patients being symptom free at follow up. This review summarises the current literature on the aetiology, diagnosis and treatment of this rare disease. We also introduce a novel classification system for encapsulating bowel diseases, which may distinguish CPE from the commoner, more morbid conditions of abdominal cocoon and encapsulating peritoneal sclerosis.

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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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A case of peritoneal encapsulation syndrome

Cited by 3 publications

References 8 publications

Peritoneal encapsulation: a rare cause of small bowel obstruction

Peritoneal encapsulation: a rare cause of small bowel obstruction

Congenital peritoneal encapsulation: A review and novel classification system

Congenital Peritoneal Encapsulation: A Literature Review of a Rare Pathology

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