ABSTRACT
Closed loop obstruction occurs when a segment of bowel is incarcerated at two contiguous points. The diagnosis is based on multiple transitional zones. The incarcerated loops appear in U or C form or present a radial layout around the location of the obstruction. It's very important to specify the type of obstruction because, in patients with simple bowel obstruction, a conservative approach is often advised. On the other hand, a closed loop obstruction immediately requires a surgical approach because of its high morbidity and the risk of death in case of a late diagnosis.
Subject(s)
Intestinal Obstruction/diagnostic imaging , Tomography, X-Ray Computed , HumansSubject(s)
Abdomen, Acute/diagnostic imaging , Abdomen, Acute/etiology , Ileal Neoplasms/diagnostic imaging , Ileal Neoplasms/secondary , Ileum/blood supply , Intestinal Perforation/diagnostic imaging , Mesenteric Vascular Occlusion/diagnostic imaging , Neuroendocrine Tumors/diagnostic imaging , Neuroendocrine Tumors/secondary , Tomography, X-Ray Computed , Aged , Diagnosis, Differential , Fatal Outcome , Humans , MaleABSTRACT
Encapsulating peritonitis or "abdominal cocoon" is characterised by part or all of the digestive tube being encased in a thick membrane forming a sort of "cocoon". In addition to secondary forms related to peritoneal dialysis or those with drug related, inflammatory or tumour aetiologies, rare idiopathic forms have been described. We report here a case of an idiopathic form in a 15-year-old adolescent girl.
