Sclerosing peritonitis associated with luteinized thecomas.

Degenrative Fibroid and Sclerosing Peritonitis

“…CA125 level is invariably normal in most cases. Macroscopic findings are of ascites, peritoneal, and small bowel thickening [4]. …”

Ileal obstruction caused by idiopathic sclerosing encapsulating peritonitis

“…Recent pathologic reports have suggested that sclerosing peritonitis may be associated with luteinized thecoma, which is comprised of a proliferation of ovarian spindle cells [1,3]. However, our case was not associated with ovarian masses or exposed to treatment with b-adrenergic blocker or CAPD.…”

“…The most frequently involved site of sclerosing encapsulating peritonitis is the serosa of the small bowel, and it is usually confined to the peritoneum with as much as 4 -5 mm thickness [1]. Less commonly, the peritoneum of the large bowel, the visceral peritoneum of the pelvis and upper abdomen, and omentum are involved [1,4].…”

“…Less commonly, the peritoneum of the large bowel, the visceral peritoneum of the pelvis and upper abdomen, and omentum are involved [1,4]. Localization of fibroblastic proliferation to the peritoneum could be explained by the presence of the secretory product within the ascitic fluid [3].…”

“…Sclerosing encapsulating peritonitis has been reported as a curious condition in which bowel and mesentery are drawn together within a fibrous cocoonlike sac, which may cause intestinal obstruction [1,2]. The encasing fibrous layer can be readily separated from the underlying bowel whose serosa retains its normal glistening appearance.…”