  |
|
 |
|
Case Report
| ||||||
| Peritoneal encapsulation, left paraduodenal hernia with retroperitonealization of inferior mesenteric vein leading to triple obstruction | ||||||
| Imtiaz Wani1, Khursheed A Wani1, Muneer Wani1, Gulzar Bhat1, Mubashir Shah1 | ||||||
|
1Department of General Surgery, SKIMS, Srinagar, Kashmir, India.
| ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article: |
| Wani I, Wani KA, Wani M, Bhat G, Shah M. Peritoneal encapsulation, left paraduodenal hernia with retroperitonealization of inferior mesenteric vein leading to triple obstruction. International Journal of Case Reports and Images 2013;4(3):169–174. |
|
Abstract
|
|
Introduction:
Encasing of small bowel in an anomalous accessory membrane results in peritoneal encapsulation and is a very rare cause of intestinal obstruction. It is believed to be caused by malrotation of the bowel during the 12th week of gestation and this causes the formation of an accessory sac from the peritoneum, covering the umbilicus. Left paraduodenal hernia is the most common form of congenital internal hernia. Paraduodenal hernia are caused by abnormal rotation of the midgut during embryonic development. This rarely presents as an intestinal obstruction. Congenital adhesions are rare in adults and these may lead to retroperitonealization of inferior mesenteric vein.
Case Report: A case of peritoneal encapsulation and left paraduodenal hernia with congenital adhesions leading to retroperitonealization of inferior mesenteric vein in the same patient is reported here. A 28-year-old male presented with recurrent small bowel obstruction and was diagnosed with an intestinal obstruction. Computed tomography confirmed peritoneal encapsulation and left paraduodenal hernia with features of intestinal obstruction. Excision of membrane and reduction of hernia with retroperitonealization of inferior mesenteric vein was done. Conclusion: This is the first case reported in literature where peritoneal encapsulation, paraduodenal hernia and retroperitonealization of inferior mesenteric vein occurred together and lead to bowel obstruction. In this case, the origin of three abnormal anatomical structures must have been congenital as there was no history of prior surgery. | |
|
Keywords:
Encapsulation, Paraduodenal, Inferior mesenteric vein (IMV)
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Imtiaz Wani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Khursheed A Wani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Muneer Wani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Gulzar Bhat – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mubashir Shah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© Imtiaz Wani et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
|
|