Congenital peritoneal encapsulation of the small intestine: A rare case report

Zoulamoglou, Menelaos; Flessas, Ioannis; Zarokosta, Maria; Piperos, Τheodoros; Kalles, Vasileios; Tsiaousis, Ioannis; Kaklamanos, Ioannis; Σγάντζος, Μάρκος; Mariolis‐Sapsakos, Theodoros

doi:10.1016/j.ijscr.2016.07.046

Cited by 16 publications

(23 citation statements)

References 10 publications

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“…Even though less than 60 cases have been reported in the medical literature so far, there are hypotheses that peritoneal encapsulation might be associated with other anatomical anomalies, such as situs inversus or congenital epigastric hernia (9,10). This was not the case with our patient, no other abnormalities being identified during surgery.…”

Section: Discussionmentioning

confidence: 99%

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%

Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Toma¹,

Giulea²,

Enciu³

et al. 2019

chr

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“…As a result of this abnormal migration of bowel, the covering layer of yolk sac is made to persist over the bowel, instead of being confined to the umbilical pedicle as is normal. This additional, aberrant peritoneal layer which covers the small bowel is continuous with the transverse mesocolon superiorly and the parietal peritoneum inferiorly [ 2 , 5 ]. In the case presented here, CPE was found to be an isolated pathology, however other cases have reported CPE occurring in the context of other congenital abnormalities, such as incomplete situs inversus [ 6 ].…”

Section: Discussionmentioning

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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“…During the 12th week of pregnancy, there is an abnormal return of the midgut loop to the abdominal cavity; thus, the formation of an additional peritoneal membrane derives from the yolk sac, which migrates with the primitive intestine. PE is a rare clinical entity and since the first description, no more than 50–60 cases have been reported in literature . Most patients are asymptomatic and diagnosis is made incidentally during unrelated surgery or autopsy.…”

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confidence: 99%

“…PE is a rare clinical entity and since the first description, no more than 50-60 cases have been reported in literature. 2 Most patients are asymptomatic and diagnosis is made incidentally during unrelated surgery or autopsy. However, in some cases, PE presents with small bowel obstruction, which is caused by an abnormal kinking of the loops encased in the peritoneal sac or by a band or adhesion.…”

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confidence: 99%