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Postgrad Med J. 2001 Nov;77(913):725-6.

Peritoneal encapsulation: a preoperative diagnosis is possible.

Author information

1
Department of Surgery, General Hospital, Port-of-Spain, Trinidad, West Indies.

Abstract

Peritoneal encapsulation is an exceedingly rare developmental abnormality in which the small intestine is encased in an accessory peritoneal sac between the omentum and mesocolon. Two clinical signs associated with the dense fibrous layer encapsulating the intestine are described. The first is a fixed, asymmetrical distension of the abdomen, which does not vary with peristaltic activity due to the unvarying position of the fibrous capsule. The second is the difference in the consistency of the abdominal wall to palpation. The flat area is firm, due to the dense fibrous capsule and the distended area soft, due to the thin walled distended small intestine with no overlying fibrous layer.

PMID:
11677284
PMCID:
PMC1742159
DOI:
10.1136/pmj.77.913.725
[Indexed for MEDLINE]
Free PMC Article

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