Renko Abagayle E, Mirkin Katelin A, Cooper Amanda B
College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Department of Surgery, Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.
BMJ Case Rep. 2019 Apr 15;12(4):e228594. doi: 10.1136/bcr-2018-228594.
Peritoneal encapsulation syndrome (PES) is a rare cause of small bowel obstruction (SBO) in patients with no prior history of abdominal surgery. First described by Cleland in 1868, PES is a congenital condition characterised by small bowel encasement in an accessory, but otherwise normal peritoneal membrane. A result of abnormal rotation of the midgut during early development, the condition causes fibrous encapsulation of the intestines, thus preventing bowel distention. While preoperative diagnosis is difficult, several case reports have described clinical and imaging signs that can help clinicians with not only recognising the condition but also preparing appropriately for perioperative discovery of anatomical variants. .
腹膜包裹综合征（PES）是既往无腹部手术史患者小肠梗阻（SBO）的罕见病因。1868年由克莱兰首次描述，PES是一种先天性疾病，其特征是小肠被一个附属但其他方面正常的腹膜包裹。这是中肠在早期发育过程中异常旋转的结果，该病症会导致肠道纤维性包裹，从而阻止肠扩张。虽然术前诊断困难，但一些病例报告描述了临床和影像学征象，这些征象不仅有助于临床医生识别该病症，还能为围手术期发现解剖变异做好适当准备。
