Hidvegi D, Hidvegi I, Barrett J
Obstet Gynecol. 1978 Jul;52(1 Suppl):15S-18S.
A case of granulomatous peritonitis occurring in a patient without previous surgical history is described. The patient was initially seen because of vaginal bleeding. Gynecologic examination disclosed an ovarian mass which, at laparotomy, grossly mimicked a carcinoma with peritoneal seeding. Histological studies revealed focal chronic granulomatous peritonitis with starch granules as determined by polarization microscopy. It is hypothesized that prolonged use by the patient of a suspension of powder in water as a douche introduced the offending agent into the pelvic peritoneum.
本文描述了一例发生在无既往手术史患者身上的肉芽肿性腹膜炎病例。该患者最初因阴道出血前来就诊。妇科检查发现一个卵巢肿块，在剖腹手术中，该肿块在大体上类似伴有腹膜种植的癌。组织学研究显示为局灶性慢性肉芽肿性腹膜炎，偏振显微镜检查确定存在淀粉颗粒。据推测，患者长期使用一种将粉末悬浮于水中制成的冲洗液进行阴道灌洗，从而将致病因子引入盆腔腹膜。
