Abstract
Peritonitis chronica fibrosa incapsulata is a relatively rare disease, and no ethiologic theory has not been established as yet. We experienced a case which appered to be of the disease.
A 36-year-old woman was referred to our hospital, whose treatments under the diagnosis of postoperative ileus had failed, and laparotomy was performed. Operative findings revealed that whole the small intestine formed nearly a lump, and an area, locating from the ligament of Treitz by 40cm to oral-side of the ileocecum by about 15 cm, was covered with white capsula. The surgery included the excision of the capsula and adhesiotomy. Pathological findings of the capsula indicated a membranate structure made of chollagen.
This case is considered to be of peritonitis chronica fibrosa incapsulata. Various causes such as tuberculois and nonspecific inflammation have been discussed for the disease, but in this case anamnestic peritonitis might cause the disease.
