Document Detail

A problem encapsulated: the rare peritoneal encapsulation syndrome.
MedLine Citation:
PMID:  16924364     Owner:  NLM     Status:  MEDLINE    
Peritoneal encapsulation (PE) is a rare condition that has been described interchangeably with sclerosing encapsulated peritonitis as well as abdominal cocoon. We report an otherwise well 38-year-old man who presented with two episodes of intestinal obstruction about two months apart. Computed tomography (CT) of the abdomen showed characteristic features of the PE syndrome. Exploratory laparotomy was performed and small bowel was freed of adhesions and the encapsulation. Post-operative recovery was uneventful. PE is an extremely rare congenital condition in which there is abnormal return of the midgut loop to the abdominal cavity in the early stages of development. The small intestine is thus covered by the original dorsal mesentery, forming the characteristic accessory peritoneal sac. Management of cases is difficult as CT findings may not be characteristic and may only be diagnosed at laparotomy.
M H Chew; I Sophian Hadi; G Chan; H S Ong; W K Wong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  47     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-22     Completed Date:  2006-10-31     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  808-10     Citation Subset:  IM    
Department of Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
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MeSH Terms
Intestinal Obstruction / diagnosis*,  surgery
Peritoneum / pathology*
Peritonitis / diagnosis,  surgery*
Postoperative Complications*
Tissue Adhesions*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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