Chew M H, Sophian Hadi I, Chan G, Ong H S, Wong W K
Department of Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2006 Sep;47(9):808-10.
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.
腹膜包裹症（PE）是一种罕见病症，曾被交替描述为硬化性包裹性腹膜炎以及腹茧症。我们报告了一名38岁的健康男性，他在大约两个月的时间里出现了两次肠梗阻发作。腹部计算机断层扫描（CT）显示了PE综合征的特征性表现。进行了剖腹探查术，松解了小肠的粘连并解除了包裹。术后恢复顺利。PE是一种极其罕见的先天性病症，在发育早期中肠袢异常返回腹腔。小肠因此被原始的背侧肠系膜覆盖，形成特征性的副腹膜囊。由于CT表现可能不具有特征性，且可能仅在剖腹手术时才能诊断，因此病例的管理较为困难。
