PMC4987511_01
Axial CT images showing intestinal obstruction and converged to the left side of the abdominal cavity small bowel loops.
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Abdominal CT revealed small bowel loops nestled against the left side of the abdomen, dilatation of the small intestine and features of intestinal obstruction (Fig. 1).
The peritoneal capsule discovered intraoperatively.
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Intraoperatively, a thin membrane was discovered in the left upper quadrant of the abdominal viscera encasing all the small intestine (Fig. 2).
The bowel loops into the peritoneal capsule.
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The accessory peritoneal membrane, was located between the parietal peritoneum and the posterior abdominal wall and it had the appearance of a supplementary peritoneal capsule through which the 'trapped' small bowel loops were visible (Fig. 3).
Excision of the peritoneal capsule. The small bowel loops were released into the peritoneal cavity.
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Immediate excision of the accessory peritoneal membrane released the intestinal loops into the peritoneal cavity and subsequently allowed better bowel mobility (Fig. 4).