Double Trouble: A Diagnostic Challenge of Coexisting Encapsulating Peritonitis and Transverse Mesocolic Internal Hernia Presenting As Acute Small Bowel Obstruction
Jyoti Choudhary, Deepshikha Arora, Chandra Kishore, Avinash Dhok, Mohd Yunus Shah · 2026
Read Double Trouble: A Diagnostic Challenge of Coexisting Encapsulating Peritonitis and Transverse Mesocolic Internal Hernia Presenting As Acute Small Bowel Obstruction by Jyoti Choudhary, Deepshikha Arora, Chandra Kishore, Avinash Dhok, Mohd Yunus Shah (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13612892.txt.
Description
Jyoti Choudhary and co-authors (2026) report a 29-year-old man whose blocked small bowel had two rare causes at once. He arrived with sharp belly pain and repeated vomiting. A CT scan showed clustered bowel loops wrapped in a thick membrane, the sign of encapsulating peritonitis, also called abdominal cocoon syndrome. The scan also hinted at an internal hernia through the sheet of tissue holding the transverse colon.
Emergency surgery confirmed both problems. A dense membrane encased the small bowel, and part of the bowel had slipped through a hole in that tissue sheet. Surgeons removed the membrane, freed the bowel, pulled the herniated part back, and closed the hole. The block cleared and the man recovered smoothly. The authors note that these two causes are usually seen as look-alikes, not partners. Finding one on a scan should not stop the search for the other.
Catalog record
| CREATOR | Jyoti Choudhary, Deepshikha Arora, Chandra Kishore, Avinash Dhok, Mohd Yunus Shah |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 18 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |