Congenital peritoneal encapsulation – A cause of intestinal
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Congenital Peritoneal Encapsulation (CPE) is a very rare condition originating from intestinal malrotation during the 12th week of gestation. Most of the time asymptomatic it can however lead to intestinal obstruction. Sclerotising Encapsulating Peritonitis and Abdominal Cocoon, that are both of inflammatory origin have to be considered in the differential diagnostics. A case of CPE in a 12 years old patient is presented that was a cause of bowel strangulation. He presented vomiting and abdominal pain aggravating for the past two days. The body temperature was not elevated. A week before he was consulted in the surgical ambulatory with the same symptoms that revealed after enema. Physical examination showed signs of peritoneal irritation, pain on palpation mostly in the right lower quadrant. There was no peristalsis on auscultation. Radiologic diagnostics followed. Abdominal radiograph revealed no signs of intestinal obstruction....

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