Document Detail


Encapsulating peritonitis and familial Mediterranean fever.
MedLine Citation:
PMID:  15884137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To investigate the relationship between encapsulating peritonitis and familial Mediterranean fever (FMF). METHODS: The patient had a history of type 2 diabetes and laparoscopic cholecystectomy was performed one year ago for cholelithiasis. Eleven months after the operation she developed massive ascites. Biochemical evaluation revealed hyperglycemia, mild Fe deficiency anemia, hypoalbuminemia and a CA-125 level of 2 700 IU. Ascitic evaluation showed characteristics of exudation with a cell count of 580/mm(3). Abdominal CT showed omental thickening and massive ascites. At exploratory laparotomy there was generalized thickening of the peritoneum and a laparoscopic clip encapsulated by fibrous tissue was found adherent to the uterus. Biopsies were negative for malignancy and a prophylactic total abdominal hysterectomy and bilateral salpingooophorectomy were performed. RESULTS: The histopathological evaluation was compatible with chronic nonspecific findings and mild mesothelial proliferation and chronic inflammation at the uterine serosa and liver biopsy showed inactive cirrhosis. CONCLUSION: The patient was evaluated as sclerosing encapsulating peritonitis induced by the laparoscopic clip acting as a foreign body. Due to the fact that the patient had FMF the immune response was probably exaggerated.
Authors:
Resat Dabak; Oya Uygur-Bayramiçli; Didem-Kiliç Aydin; Can Dolapçioglu; Cengiz Gemici; Turgay Erginel; Cem Turan; Nimet Karadayi
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  11     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-10     Completed Date:  2005-07-21     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2844-6     Citation Subset:  IM    
Affiliation:
Department of Family Medicine, Kartal State Hospital, 36660 Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cholelithiasis / surgery
Familial Mediterranean Fever / complications*
Female
Foreign Bodies / complications*
Humans
Laparoscopy / adverse effects*
Peritonitis / etiology*
Surgical Instruments / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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