Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Toma, Elena-Adelina; Giulea, Cosmin; Enciu, Octavian; Calu, Valentin; Miron, Adrian

doi:10.21614/chirurgia.114.2.290

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…AC, on the other hand, is another disease whose cause is unknown and progresses with encapsulation. Etiologically, recurrent gynecological infections and retrograde menstruation are held responsible (8,9). In our case, none of these etiological factors were present and the diagnosis was compatible with CPE.…”

Section: Discussionmentioning

confidence: 52%

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

Dalbaşı¹,

Gedik

2023

Journal of Emergency Medicine Case Reports

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Congenital peritoneal encapsulation (CPE) is a rare condition in which part or all of the small intestine is surrounded by an accessory peritoneal layer congenitally. Although it rarely causes small bowel obstruction, it is usually asymptomatic and the diagnosis is mostly made incidentally during surgery or autopsy. A 41-year-old male patient presented to the emergency department with diffuse and cramping pain lasting for approximately 8 hours. He had nausea and vomiting. No gas or faeces output for 72 hours. Abdominal computed tomography (CT) showed dilated abdominal small intestines and findings consistent with obstruction. The patient was hospitalized with the diagnosis of ileus. Decompression was performed with a nasogastric tube. It was decided to perform diagnostic laparoscopic surgery for the patient who did not respond to 24-hour observation and medical treatment. Laparoscopic examination revealed a thin membrane covering the small intestine from the terminal ileum to the middle of the jejunal segment on the right side of the abdomen. All adhesions were separated, the small intestines were released from the pressure of the accessory peritoneum and placed in the abdomen. The patient was discharged without complications on the 6th postoperative day. CPE should be considered in small bowel obstructions of unexplained etiology. Laparoscopic evaluation is effective in diagnosing CPE, but in cases where the long small bowel segment is affected, as in our case, we think that it would be appropriate to switch to open surgery to prevent morbidity, as well as the necessity of separating all bands

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Section: Discussionmentioning

confidence: 52%

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

Dalbaşı¹,

Gedik

2023

Journal of Emergency Medicine Case Reports

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“…Less than 200 cases have been reported in the literature, and some of these cases were associated with non‐specific congenital anomalies such as situs inversus 12 . This rarity is confirmed by the largest review of Akbulut et al, which contains only 190 cases from 74 articles published in 23 countries 5 …”

Section: Discussionmentioning

confidence: 98%

Idiopathic sclerosing encapsulating peritonitis: An uncommon cause of intestinal obstruction in a virgin abdomen

Sghair

Debaibi

Kchaou

et al. 2022

Clinical Case Reports

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Idiopathic sclerosing encapsulating peritonitis is a clinical entity characterized by partial or complete encasement of the digestive tract by a fibrous membrane. The preoperative diagnosis is difficult to establish. The diagnosis of sclerosing encapsulating peritonitis should be considered for patients without any surgical history and admitted for intestinal obstruction, especially for patients having peritoneal dialysis. We herein report the case of a 50‐year‐old man with idiopathic encapsulating peritonitis complicated by intestinal obstruction and ischemia. Idiopathic sclerosing encapsulating peritonitis is a rare disease. The diagnosis is made generally during a surgical procedure. Surgery seems to be the best management option for patients with severe signs of intestinal obstruction. Total resection of membrane avoids recurrences but it is associated with higher morbidity and mortality

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“…The causes of secondary SEP include different types of diseases (peritoneal sarcoidosis, cirrhosis, familial Mediterranean fever, systemic lupus), previous surgery (liver and kidney transplantation, shunt surgery), peritoneal infections (tuberculosis, pelvic inflammatory disease), ambulatory peritoneal dialysis catheter, asbestosis exposure, in-vitro fertilization gastrointestinal malignancies, intraperitoneal chemotherapy and various drugs (Beta blockers -practolol, timolol, propranolol, other drugs -methotrexate ). 1,[8][9][10][11][12][13][14] In this study, we aimed to evaluate the clinical features and the treatment options of patients who were diagnosed with primary (ACS) or secondary sclerosing encapsulation syndrome, in differentiation from other causes of ileus and acute abdomen.…”

Section: Introductionmentioning

confidence: 99%

A Diagnostic Dilemma for Acute Abdomen: Sclerosing Encapsulating Peritonitis (Abdominal Cocoon Syndrome); A Retrospective Cohort Study

et al. 2021

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Background: Sclerosing encapsulating peritonitis (SEP) is a rare cause of acute abdomen and can be easily misdiagnosed. Preoperative diagnosis of the SEP can be performed with preoperative imaging studies. We aimed to evaluate the clinical features of ileus cases who were diagnosed with primary or secondary SEP in the last five years. Methods: This retrospective cohort study evaluated the patients who were admitted with ileus or acute abdomen symptoms to the Emergency Department of Elazığ Training and Research Hospital and underwent surgery by the same surgical team of General Surgery Department between January 2014 and January 2019. Patients who were diagnosed with primary or secondary SEP were included. The demographic data, clinical presentation, whether the disease was primary or secondary, the treatment options performed and mortality rates were evaluated. Results: SEP was observed in 11 of the patients. Ten patients underwent surgery (90.9%), and one patient (9.1%) was treated conservatively. Of the patients, six had secondary SEP (54.5%) and five had primary SEP (45.5%). In total, five patients were female (45.5%) and six were male (54.5%). The median age of the patients was 35 years (24-69). The median age of the patients with primary disease was 48 (29-69) years, while the median age of patients with secondary disease was 34.5 (24-64) years. One patient expired in the postoperative 8th hour. Conclusion: SEP should be considered in the case of recurrent abdominal pain attacks, especially in patients undergoing peritoneal dialysis, and it should be known that the mortality rate is high when misdiagnosed.

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Peritoneal Encapsulation - A Rare Cause of Small Bowel Obstruction

Cited by 7 publications

References 13 publications

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

A Rare Cause of Small Bowel Obstruction: Congenital Peritoneal Encapsulation

Idiopathic sclerosing encapsulating peritonitis: An uncommon cause of intestinal obstruction in a virgin abdomen

A Diagnostic Dilemma for Acute Abdomen: Sclerosing Encapsulating Peritonitis (Abdominal Cocoon Syndrome); A Retrospective Cohort Study

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