A Case of Peritonitis Chronica Fibrosa Incapsulata Presenting as Ileus after Irradiation

Atsushi Sato, Makoto Kataoka, Yoshiyuki Kuwabara, Yasuyuki Kureyama, Hiroyuki Kawamura, Noriyuki Shinoda, Taketoshi Kashima, Kouji Hattori, Hidenori Sumida, Masahiro Kimura, Koichiro Nakano, Akira Masaoka

Second Department of Surgery, Nagoya City University Medical School

A case of peritonitis chronica fibrosa incapsulata presenting as ileus after irradiation is reported. A 62-year-old women who had a past history of radical hysterectomy and irradiation after surgery due to uterine cancer visited our hospital complaining of abdominal distention and nausea. We diagnosed adhesional ileus due to radiation enteritis, and performed laparotomy. Operative findings revealed terminal ileum resembling a lump of 10.8×7.6×7.4 cm, and covered with a white capsule 1 mm thick. She was diagnosed with peritonitis chronica fibrosa incapsulata. The Japanese literature contains reports of only 23 cases of this disease since 1970. This is the first report of this disease caused by irradiation. Preoperative diagnosis of this disease is considered very difficult. In this case, abdominal CT could retrospectively demonstrate characteristic findings of incapsulated intestine.

Key words
peritonitis chronica fibrosa incapsulata, adhesional ileus, radiation enteritis

Reprint requests
Atsushi Sato Second Department of Surgery, Nagoya City University Medical School
1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467 JAPAN

Accepted
January 12, 1994

To read the PDF file you will need Abobe Reader installed on your computer.