Sclerosing peritonitis. A series of 10 cases and review of the literature
The aim of this study was to describe the main features of sclerosing peritonitis, using a retrospective study in 10 patients. The main causes of sclerosing peritonitis were continual ambulatory peritoneal dialysis (n = 3), peritoneal chemotherapy (n = 2) and liver cirrhosis (n = 2). Sclerosing peri...
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Published in | Gastroentérologie clinique et biologique Vol. 19; no. 11; p. 876 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | French |
Published |
France
01.11.1995
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Subjects | |
Online Access | Get more information |
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Summary: | The aim of this study was to describe the main features of sclerosing peritonitis, using a retrospective study in 10 patients.
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.
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. |
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ISSN: | 0399-8320 |