Peritoneal encapsulation(PE) is a rare congenital malformation, characterized by a thin accessory peritoneal membrane which covers all or part of the small bowel, forming an accessory peritoneal sac. Most cases areasy...Peritoneal encapsulation(PE) is a rare congenital malformation, characterized by a thin accessory peritoneal membrane which covers all or part of the small bowel, forming an accessory peritoneal sac. Most cases areasymptomatic and diagnosed incidentally during surgery and/or autopsy. Clinical presentation with intestinal obstruction is extremely rare and we report a case. A 25-year-old male, referred to emergency department with diffuse abdominal pain, crampy, with 8 h evolution, associated with nausea, vomiting and constipation in the last 48 h. The abdominal examination revealed an asymmetric and fixed distension, with hard consistency on palpation of lower abdominal quadrants. The abdominal radiography reveals a small bowel distension and fluid levels. Submitted to laparoscopic surgery that recourse to conversion because there is a total peritoneal encapsulation of the small bowel. After opening the peritoneal sac, we find a rotation of mesentery, at its root, conditioning twisting of small bowel and consequently occlusion. Uneventful postoperative with discharged at the 6th day. The PE is a very rare congenital anomaly characterized by abnormal bowel back into the abdominal cavity in the early stages of development. Your knowledge becomes important because, although rare, it might be diagnosis in patients with intestinal obstruction, in the absence of other etiologic factors.展开更多
A Geographical Information System (GIS) methodology was developed to?identify and characterize suitable areas for deploying renewable energy projects. The methodology enables to compute the sustainable renewable energ...A Geographical Information System (GIS) methodology was developed to?identify and characterize suitable areas for deploying renewable energy projects. The methodology enables to compute the sustainable renewable energy potential in an area under study and can be implemented for different spatial scales, ranging from local to national levels, while operating with different restriction layers. This GIS-based method has been successfully applied to wind energy deployment studies in Continental Portugal and other foreign countries?(e.g. Venezuela, Mozambique among others). Results from several development plans using this methodology enable to conclude it is an adequate tool for planning sustainable renewable energy deployment both for onshore and offshore regions.展开更多
文摘Peritoneal encapsulation(PE) is a rare congenital malformation, characterized by a thin accessory peritoneal membrane which covers all or part of the small bowel, forming an accessory peritoneal sac. Most cases areasymptomatic and diagnosed incidentally during surgery and/or autopsy. Clinical presentation with intestinal obstruction is extremely rare and we report a case. A 25-year-old male, referred to emergency department with diffuse abdominal pain, crampy, with 8 h evolution, associated with nausea, vomiting and constipation in the last 48 h. The abdominal examination revealed an asymmetric and fixed distension, with hard consistency on palpation of lower abdominal quadrants. The abdominal radiography reveals a small bowel distension and fluid levels. Submitted to laparoscopic surgery that recourse to conversion because there is a total peritoneal encapsulation of the small bowel. After opening the peritoneal sac, we find a rotation of mesentery, at its root, conditioning twisting of small bowel and consequently occlusion. Uneventful postoperative with discharged at the 6th day. The PE is a very rare congenital anomaly characterized by abnormal bowel back into the abdominal cavity in the early stages of development. Your knowledge becomes important because, although rare, it might be diagnosis in patients with intestinal obstruction, in the absence of other etiologic factors.
文摘A Geographical Information System (GIS) methodology was developed to?identify and characterize suitable areas for deploying renewable energy projects. The methodology enables to compute the sustainable renewable energy potential in an area under study and can be implemented for different spatial scales, ranging from local to national levels, while operating with different restriction layers. This GIS-based method has been successfully applied to wind energy deployment studies in Continental Portugal and other foreign countries?(e.g. Venezuela, Mozambique among others). Results from several development plans using this methodology enable to conclude it is an adequate tool for planning sustainable renewable energy deployment both for onshore and offshore regions.
