Related Experiment Videos
[Encapsulating peritonitis in periodic disease. Apropos of a case studied by x-ray computed tomography]
Abstract:
A case of encapsulating peritonitis complicating the course of familial Mediterranean fever is reported. This encapsulating peritonitis was responsible for abdominal pain and had a "pseudocystic" appearance on ultrasonography and computed tomography. Ultrasound guided aspiration produced a yellowish fluid rich in proteins and poor in cells. Surgical operation revealed a congested appearance of the peritoneum associated with a richly fibrinous appearance of the external wall of the mass. The differential diagnosis is discussed.
Insights
Familial Mediterranean fever can cause encapsulating peritonitis, a rare condition presenting as abdominal pain with a pseudocystic appearance on imaging. Surgical findings revealed peritoneal congestion and a fibrinous mass, highlighting the need for careful diagnosis.
Area of Science:
- Gastroenterology
- Rheumatology
- Surgical Pathology
Background:
- Familial Mediterranean fever (FMF) is a genetic autoinflammatory disorder.
- Complications of FMF can involve serosal surfaces, including the peritoneum.
- Encapsulating peritonitis is a rare but serious complication.
Observation:
- A case of encapsulating peritonitis complicating FMF is presented.
- The condition manifested as abdominal pain with a pseudocystic appearance on ultrasonography and CT scans.
- Ultrasound-guided aspiration yielded protein-rich, cell-poor yellowish fluid.
Findings:
- Surgical exploration showed a congested peritoneum.
- A mass with a richly fibrinous external wall was identified.
- Histopathological examination would further characterize the peritoneal changes.
Implications:
- This case highlights the diverse clinical presentations of FMF.
- Encapsulating peritonitis should be considered in FMF patients with abdominal pain and suggestive imaging.
- Accurate diagnosis and management are crucial for patient outcomes.