A Case of Idiopathic Sclerosing Peritonitis.
10.4078/jkra.2008.15.2.180
- Author:
Hee Jung RYU
1
;
Young Bae PARK
;
Jung Hwa LEE
;
Hye Seung LEE
;
Eun Young LEE
;
Yun Jong LEE
;
Eun Bong LEE
;
Yeong Wook SONG
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. ysong@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Fibrosis;
Idiopathic;
Sclerosing peritonitis
- MeSH:
Adolescent;
Male;
Female;
Humans
- From:The Journal of the Korean Rheumatism Association
2008;15(2):180-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Idiopathic sclerosing peritonitis is a rare disease characterized by fibrosis and adhesion of the peritoneum to loops of the small intestine. It may be the cause of an unusual surgical emergency such as small bowel ileus. It is diagnosed predominantly in female adolescents. We report the case of an idiopathic sclerosing peritonitis in Korea. A 38-year-old man visited emergency room for recurrent small bowel ileus and migrating mass like lesion. Computed tomography (CT) of abdomen showed acute peritonitis with a diffuse wall thickening of terminal ileum and extraluminal fluid collectionaround the terminal ileum. He underwent laparotomy. The ileocolectomy with adhesiolysis was performed and its pathological examination revealed the characteristic findings of idiopathic sclerosing peritonitis. Symptoms recurred 2 months after surgery, but improved with steroid treatment.
