An interesting case of a left paraduodenal hernia with peritoneal encapsulation presenting as acute intestinal obstruction

Basu, Arghya; Gupta, Amit; Biswas, Supreeti; Dutta, Mainak

doi:10.1007/s13126-014-0108-y

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…42% of cases were reported from Europe, with the most common countries being United Kingdom ( n = 8), Israel ( n = 2)[25,29], Greece ( n = 2)[24,42] and Ireland ( n = 2)[1,39]. India has the second highest number of cases after the United Kingdom, with six in total[3,6,8,9,26,40]. The mean age of patients at the time of diagnosis was 40.8 (range 11-85 years).…”

Section: Epidemiologymentioning

confidence: 99%

“…Ultrasonography has also been used in nine cases, of which four reported no significant abnormalities. Other findings included small bowel dilation, ascites[25], hydronephrosis[10] and gall bladder distension[9].…”

Section: Diagnosismentioning

confidence: 99%

“…14 cases reported excellent post-operative recovery with no complications. Length of hospital stay was recorded in 8 cases, with an average of 13 d, and a range of 6-33 d. Very few papers have reported on long term follow up of patients, with the longest being 7 years of symptom free survival[9]. Two patients died during the initial hospital admission: One patient died due to sepsis secondary to a chest infection[31], and the other died due to extensive bowel necrosis[34].…”

Section: Management and Prognosismentioning

confidence: 99%

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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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Section: Epidemiologymentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Management and Prognosismentioning

confidence: 99%

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Congenital peritoneal encapsulation: A review and novel classification system

Dave

McMahon

Zahid

2019

WJG

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Minimally invasive treatment of congenital peritoneal encapsulation: a case report

Giaracuni¹,

Gregori²,

Barbieri³

et al. 2021

Dig Med Res

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Congenital Peritoneal Encapsulation Presented With Small Bowel Obstruction- A Rare Case Report

Rajyaguru¹,

Chaudhary²,

Baraiya³

2022

ijsr

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Peritoneal encapsulation is an exceedingly rare cause of small bowel obstruction characterised by congenital development of an accessory peritoneal layer partially or entirely encapsulating the small bowel. The majority of the cases remain asymptomatic and are diagnosed accidentally [1] [2, 3, 4] during autopsy or surgery and a very few symptomatic presents as an acute or sub acute small bowel obstruction . It is one of the rare case of peritoneal encapsulation presented as an acute small bowel obstruction.

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An interesting case of a left paraduodenal hernia with peritoneal encapsulation presenting as acute intestinal obstruction

Cited by 4 publications

References 5 publications

Congenital peritoneal encapsulation: A review and novel classification system

Congenital peritoneal encapsulation: A review and novel classification system

Minimally invasive treatment of congenital peritoneal encapsulation: a case report

Congenital Peritoneal Encapsulation Presented With Small Bowel Obstruction- A Rare Case Report

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