Sclerosing peritonitis mimicking ovarian carcinoma: Associated with ovarian teratoma.

Kim, Seul Ki; Lim, Myong Cheol; Lee, Jung Yun; Park, Ju Hee; Yoo, Chong Woo; Park, Sang Yoon

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(9):950-954.
Published online September 1, 2009.

Sclerosing peritonitis mimicking ovarian carcinoma: Associated with ovarian teratoma.

Seul Ki Kim, Myong Cheol Lim, Jung Yun Lee, Ju Hee Park, Chong Woo Yoo, Sang Yoon Park

¹Center for Uterine Cancer, National Cancer Center, Seoul, Korea. parksang@ncc.re.kr
²Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Sclerosing peritonitis is an unusual fibrosing condition predominantly involving the omentum and simulating carcinoma. The presenting signs and symptoms, imaging examination and cancer antigen 125 (CA-125) status in sclerosing peritonitis sometimes resemble those of ovarian cancer. Thus, the possibility of sclerosing peritonitis should be considered in the differential diagnosis of ovarian carcinoma. It may occur idiopathically and secondary to chronic peritoneal dialysis, the use of peritoneovenous shunt, practolol therapy, or in association with ovarian tumors such as ovarian teratoma. We report a case of peritonitis initially suspected as ovarian carcinoma but diagnosed as sclerosing peritonitis associated with teratoma.

Key Words: Sclerosing peritonitis, Ovarian cancer, Ovarian teratoma