Complete remission of peritonitis with LTCP in a patient usi
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Sclerosing peritonitis is a rare form of peritoneal inflammation characterized by fibrous thickening of the peritoneum involving the visceral and parietal surfaces of the abdominal cavity. The most common causes are peritoneal dialysis, certain drugs such anticonvulsants, and infectious peritonitis. Sclerosing peritonitis associated with luteinizing thecoma has been associated with more complications than the one secondary to other diseases with higher rates of re-laparotomies, intestinal resection and fistula formation.

A 42-year-old woman presented for recurrent episodes of diffuse abdominal pain and, discomfort with increasing abdominal girth accompanied by heavy menses, urinary frequency and constipation. Her past medical history is significant for systemic lupus erythematosus. CT scan and ultrasound of the abdomen and pelvis revealed bilateral large solid adnexal masses associated with large amounts of free fluid in the abdomen and Douglas pouch. CA 125 antigen level was only slightly elevated.The patient underwent total hysterectomy with bilateral salpingo-oophorectomy that showed an 11 cm × 8 cm right adnexal mass and a 13 cm × 8 cm left mass, both with smooth bosselated intact surfaces and fibrous white-tan edematous cut surfaces oozing fluid. Microscopic examination revealed a proliferation of spindled cells with luteinized cells, prominent mitotic activity and entrapped cystic follicles, diagnostic of luteinizing thecomas of the type typically associated with sclerosing peritonitis (LTSP).

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