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. 2016:27:28-31.
doi: 10.1016/j.ijscr.2016.07.046. Epub 2016 Jul 28.

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

Menelaos Zoulamoglou  1 , Ioannis Flessas  2 , Maria Zarokosta  3 , Theodoros Piperos  4 , Vasileios Kalles  5 , Ioannis Tsiaousis  6 , Ioannis Kaklamanos  7 , Markos Sgantzos  8 , Theodoros Mariolis-Sapsakos  9
Affiliations

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

Menelaos Zoulamoglou et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Peritoneal Encapsulation (PE) is a scarce congenital malformation, characterized by a supplementary peritoneal membrane that covers all or a part of the small intestine.

Presentation of case: PE was unexpectantly discovered in a young woman during laparotomy for bowel obstruction. There were no specific pre-operative indications of this malformation. The operation was uneventful.

Discussion: PE is a very rare congenital anatomical anomaly that is difficultly identified pre-operatively. PE is mainly asymptomatic, but in some cases, like in the presented one, PE presents with small bowel obstruction. Surgeons should be aware of this malformation and suspect it when encountering a patient with small bowel obstruction without other etiological factors.

Conclusion: Knowledge of this peculiar congenital anomaly is pivotal, so that accurate diagnosis and appropriate management of it are direct and efficient.

Keywords: Case report intestinal obstruction; Congenital peritoneal membrane; Peritoneal encapsulation.

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Figures

Fig. 1
Fig. 1
Axial CT images showing intestinal obstruction and converged to the left side of the abdominal cavity small bowel loops.
Fig. 2
Fig. 2
The peritoneal capsule discovered intraoperatively.
Fig. 3
Fig. 3
The bowel loops into the peritoneal capsule.
Fig. 4
Fig. 4
Excision of the peritoneal capsule. The small bowel loops were released into the peritoneal cavity.
See this image and copyright information in PMC

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