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Idiopathic sclerosing peritonitis in a man
1Department of Internal Medicine, Keiyu General Hospital, Yokohama, Japan.
Internal Medicine (Tokyo, Japan)
|July 1, 1993
Summary
Idiopathic sclerosing peritonitis (ISP) is a rare condition causing small bowel obstruction, often presenting as an "abdominal cocoon". This case highlights ISP in a 62-year-old man, expanding its known demographic.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Idiopathic sclerosing peritonitis (ISP) is a rare condition.
- It is primarily reported in young adolescent women.
- ISP can cause small bowel obstruction, sometimes with an "abdominal cocoon" formation.
Observation:
- A 62-year-old male presented with ascites and an abdominal mass.
- Exploratory laparotomy revealed significant ascites (5.4 liters).
- The entire small bowel was encased in a fibrous, cocoon-like structure.
Findings:
- Pathological examination confirmed findings consistent with sclerosing peritonitis.
- The case demonstrates a rare presentation of ISP in an elderly male.
- The "abdominal cocoon" was a key pathological feature.
Implications:
- This case broadens the known demographic for idiopathic sclerosing peritonitis.
- It underscores the importance of considering ISP in adult patients with unexplained ascites and bowel obstruction.
- Further research may elucidate the pathogenesis and varied presentations of ISP.