Idiopathic sclerosing peritonitis in a man.
Idiopathic sclerosing peritonitis (ISP) is a rare condition which has been mainly reported in young adolescent women as a cause of small bowel obstruction. In these patients the small bowel is sometimes encased in a fibrous sac called an "abdominal cocoon". We describe a 62-year-old man who underwent exploratory laparotomy for ascites and abdominal mass. Laparotomy showed 5.4 l of ascites and the entire small bowel was encased in a fibrous sausage-like cocoon. The pathological findings were characteristic of sclerosing peritonitis.
Masuda
C
C
Department of Internal Medicine, Keiyu General Hospital, Yokohama, Japan.
Fujii
Y
Y
Kamiya
T
T
Miyamoto
M
M
Nakahara
K
K
Hattori
S
S
Ohshita
H
H
Yokoyama
T
T
Yoshida
H
H
Tsutsumi
Y
Y
D001201:Ascites / Q000209:etiology*; D005355:Fibrosis; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012598:Sclerosis