慢性被包性腹膜炎の2例

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  • TWO CASES OF PERITONITIS CHRONICA FIBROSA INCAPSULATA

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Peritonitis chronica fibrosa incapsulata is a relatively rare disease in which the intraperitoneal organs are enclosed in fibrous membranous sheaths. We report two cases of peritonitis chronica fibrosa incapsulata.<br> Case 1: A 69-year-old man was seen at the hospital because of epigastric discomfort. We suggested malignancy of gastrointestinal tract and performed laparotomy. Operative findings revealed that the entire small intestine was lumped with thick gummy sheaths. Histological diagnosis was non-specific inflammation.<br> Case 2: A 49-year-old man was seen at the hospital because of abdominal distension and anorexia. He had been treated for lung tuberculosis. Emergency operation was performed due to severe ileus condition. Operative findings revealed that the entire small intestine was lumped with thin fibrous sheaths. Histological diagnosis was non-specific inflammation, and no tuberculosis lesion was found.<br> It is difficult to make the diagnosis of peritonitis chronica fibrosa incapsulata preoperatively, but the patients who develop intestinal obstruction without previous laparotomy may have be peritonitis chronica fibrosa incapsulata.

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