[Sclerosing peritonitis. A series of 10 cases and review of the literature].
OBJECTIVE
The aim of this study was to describe the main features of sclerosing peritonitis, using a retrospective study in 10 patients.


RESULTS
The main causes of sclerosing peritonitis were continual ambulatory peritoneal dialysis (n = 3), peritoneal chemotherapy (n = 2) and liver cirrhosis (n = 2). Sclerosing peritonitis was revealed by acute or chronic bowel obstruction (n = 8). Small bowel X-rays and abdominal tomodensitometry showed a small bowel dilatation with a normal mucosa (n = 7), ascites (n = 5) as well as agglutination and fixation of small bowel loops within a cocoon (n = 3). Surgical viscerolysis was performed in 9 patients and allowed prolonged clinical remission in 4; 3 patients died postoperatively (1 had a cirrhosis and 2 were treated with continuous ambulatory peritoneal dialysis), 1 patient had a complicated postoperative course with recurrent enterocutaneous fistulae.


CONCLUSIONS
Sclerosing peritonitis may be suspected in a patient who presents a combination of bowel obstruction, small bowel dilatation without mucosal disease and ascites. Surgical viscerolysis is a dangerous operation associated with high mortality in patients with renal failure or cirrhosis.
Carbonnel
F
F
Service d'Hépato-Gastroentérologie et Nutrition, Hôpital Rothschild, Paris.
Barrié
F
F
Beaugerie
L
L
Houry
S
S
Chatelet
F
F
Gallot
D
D
Malafosse
M
M
Guerre
J
J
Mignon
F
F
Cosnes
J
J
D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D004239:Diverticulitis, Colonic / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010537:Peritoneum / Q000000981:diagnostic imaging / Q000473:pathology*; D010538:Peritonitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography; D012189:Retrospective Studies; D012598:Sclerosis / Q000473:pathology
Péritonite encapsulante. Une série de 10 observations et revue de la littérature.