Urdiales Cabal G, Lamamié de Clairac E, Sampedro Nuño A, Díaz-Faes Cervero M
Rev Esp Enferm Apar Dig. 1989 Apr;75(4):411-3.
The authors present a case of granulomatous peritonitis due to starch in a 47-year-old female. This is an infrequent, but clinically important, process. Contamination occurs mainly through rubber gloves. The symptomatology is varied and simulates a picture of acute abdomen. The diagnosis rests on examination of the liquid obtained by peritoneocentesis or peritoneal biopsy. The histopathologic picture is that of a granulomatous reaction to foreign matter, with giant cells that exhibit birefringent granules in the form of the Maltese cross. Medical management is based on the use of steroids and anti-inflammatory agents.
作者报告了一例47岁女性因淀粉导致的肉芽肿性腹膜炎病例。这是一个不常见但临床意义重大的过程。污染主要通过橡胶手套发生。症状多样，类似急腹症表现。诊断依赖于对腹腔穿刺抽出液或腹膜活检组织的检查。组织病理学表现为对外来物质的肉芽肿反应，可见呈马耳他十字形双折射颗粒的巨细胞。药物治疗基于使用类固醇和抗炎药。
