Tojal André, Marques Júlio, Coelho Sandra, Ferreira Maria-João, Carrilho Noel, Horta-Oliveira António, Casimiro Carlos
Department of General Surgery, Centro Hospitalar Tondela-Viseu, E.P.E., Av. Rei D. Duarte, Viseu, Portugal.
J Surg Case Rep. 2021 Jan 30;2021(1):rjaa601. doi: 10.1093/jscr/rjaa601. eCollection 2021 Jan.
Congenital peritoneal encapsulation is a rare congenital malformation in which all or part of the small bowel is covered by a thin accessory peritoneal membrane. Despite being usually asymptomatic and an incidental finding during surgery or autopsy, there is a small number of reports in the literature whose diagnosis was established in the context of intestinal obstruction. The authors review the topic and describe a case report undergoing surgery for intestinal obstruction. Intraoperatively, there was a partial peritoneal encapsulation of the small bowel with signs of intestinal malrotation. Peritoneal membrane excision, terminal ileum release and complementary appendicectomy were performed. There was a favorable clinical evolution in the postoperative period. Although rare, it is important to remember this entity in the differential diagnosis of patients with intestinal obstruction, in the absence of other etiologic factors.
先天性腹膜包裹是一种罕见的先天性畸形,其中全部或部分小肠被一层薄的副腹膜覆盖。尽管通常无症状,多在手术或尸检时偶然发现,但文献中有少数报告是在肠梗阻的情况下确诊的。作者回顾了该主题并描述了一例因肠梗阻接受手术的病例报告。术中发现小肠存在部分腹膜包裹,并伴有肠旋转不良的迹象。进行了腹膜切除术、末端回肠松解术和阑尾切除术。术后临床病情呈良性发展。虽然罕见,但在没有其他病因的情况下,在肠梗阻患者的鉴别诊断中记住这个疾病很重要。