title: Douche-induced pelvic peritoneal starch granuloma.
abstract: A case of granulomatous peritonitis occurring in a patient without previous surgical history is described. The patient was initially seen because of vaginal bleeding. Gynecologic examination disclosed an ovarian mass which, at laparotomy, grossly mimicked a carcinoma with peritoneal seeding. Histological studies revealed focal chronic granulomatous peritonitis with starch granules as determined by polarization microscopy. It is hypothesized that prolonged use by the patient of a suspension of powder in water as a douche introduced the offending agent into the pelvic peritoneum.
mesh_terms: D001706:Biopsy; D005260:Female; D006099:Granuloma / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D009852:Omentum / Q000473:pathology; D010538:Peritonitis / Q000209:etiology*; D013213:Starch; D007507:Therapeutic Irrigation / Q000009:adverse effects*; D014626:Vaginal Smears
chemical_list: D013213:Starch