A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review
Peritoneal encapsulation (PE) is a rare congenital malformation in which the small intestine is partially or totally encased in a supplementary peritoneal sac. PE is usually asymptomatic; therefore, it is one of the rarest etiologies of bowel obstruction. Our patient presented at the age of 55 with...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2022/7851130 |
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| author | Khalil Abuzaina Ahmad Abuayash Hidaya Al-Shweiki Mohammad O. M. Hroub Anwar Yousef Jabari Shayma Hafiz Tuqa Abu Ihlayel Balqees Mohsen Sulaiman Naji Fakhouri Murad Jaa'freh |
| author_facet | Khalil Abuzaina Ahmad Abuayash Hidaya Al-Shweiki Mohammad O. M. Hroub Anwar Yousef Jabari Shayma Hafiz Tuqa Abu Ihlayel Balqees Mohsen Sulaiman Naji Fakhouri Murad Jaa'freh |
| author_sort | Khalil Abuzaina |
| collection | DOAJ |
| description | Peritoneal encapsulation (PE) is a rare congenital malformation in which the small intestine is partially or totally encased in a supplementary peritoneal sac. PE is usually asymptomatic; therefore, it is one of the rarest etiologies of bowel obstruction. Our patient presented at the age of 55 with no prior surgical history and a 3-day history of abdominal pain associated with nausea, vomiting, belching, and constipation. An obstruction secondary to an internal hernia—visualized on a CT scan—was suspected as the initial etiology. On exploratory laparotomy, the small bowel was covered by a thick adherent sac. These findings are consistent with PE, a condition that deserves recognition among clinicians worldwide. Intraoperatively, the sac was excised, and the small bowel was pulled up to the peritoneal cavity starting from the ileocecal valve to the duodenojejunal junction. In the postoperative period, the patient was managed with intravenous fluids, analgesics, and antibiotics. Wound infection was the only postoperative complication. Otherwise, all symptoms subsided, and the patient improved and was discharged home on the 8th postoperative day. |
| format | Article |
| id | doaj-art-ac14decd4181407dadbbf1564e76f2f4 |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ac14decd4181407dadbbf1564e76f2f42025-02-03T05:50:40ZengWileyCase Reports in Surgery2090-69192022-01-01202210.1155/2022/7851130A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature ReviewKhalil Abuzaina0Ahmad Abuayash1Hidaya Al-Shweiki2Mohammad O. M. Hroub3Anwar Yousef Jabari4Shayma Hafiz5Tuqa Abu Ihlayel6Balqees Mohsen7Sulaiman Naji Fakhouri8Murad Jaa'freh9General Surgery Department-Governmental Hebron HospitalDepartment of Radiology-Governmental Hebron HospitalFaculty of Medicine-Palestine Polytechnic UniversityFaculty of Medicine-Palestine Polytechnic UniversityFaculty of Medicine-Palestine Polytechnic UniversityFaculty of Medicine-Palestine Polytechnic UniversityFaculty of Medicine-Palestine Polytechnic UniversityFaculty of Medicine-Palestine Polytechnic UniversityGeneral Surgery Department-Governmental Hebron HospitalGeneral Surgery Department-Governmental Hebron HospitalPeritoneal encapsulation (PE) is a rare congenital malformation in which the small intestine is partially or totally encased in a supplementary peritoneal sac. PE is usually asymptomatic; therefore, it is one of the rarest etiologies of bowel obstruction. Our patient presented at the age of 55 with no prior surgical history and a 3-day history of abdominal pain associated with nausea, vomiting, belching, and constipation. An obstruction secondary to an internal hernia—visualized on a CT scan—was suspected as the initial etiology. On exploratory laparotomy, the small bowel was covered by a thick adherent sac. These findings are consistent with PE, a condition that deserves recognition among clinicians worldwide. Intraoperatively, the sac was excised, and the small bowel was pulled up to the peritoneal cavity starting from the ileocecal valve to the duodenojejunal junction. In the postoperative period, the patient was managed with intravenous fluids, analgesics, and antibiotics. Wound infection was the only postoperative complication. Otherwise, all symptoms subsided, and the patient improved and was discharged home on the 8th postoperative day.http://dx.doi.org/10.1155/2022/7851130 |
| spellingShingle | Khalil Abuzaina Ahmad Abuayash Hidaya Al-Shweiki Mohammad O. M. Hroub Anwar Yousef Jabari Shayma Hafiz Tuqa Abu Ihlayel Balqees Mohsen Sulaiman Naji Fakhouri Murad Jaa'freh A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review Case Reports in Surgery |
| title | A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review |
| title_full | A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review |
| title_fullStr | A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review |
| title_full_unstemmed | A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review |
| title_short | A Case of Peritoneal Encapsulation Presented as Acute Mechanical Small Bowel Obstruction: A Case Report and a Brief Literature Review |
| title_sort | case of peritoneal encapsulation presented as acute mechanical small bowel obstruction a case report and a brief literature review |
| url | http://dx.doi.org/10.1155/2022/7851130 |
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