Morphological Retrospective Study of Peritoneal Biopsies from Patients with Encapsulating Peritoneal Sclerosis: Underestimated Role of Adipocytes as New Fibroblasts Lineage?

Figure 1

Radiological findings suggesting encapsulating peritoneal sclerosis (EPS). (a, c and b, d correspond to cases EPS 2 and EPS 3, resp.) Abdominal computed tomography without contrast agent showed massive nonloculated fluid and bowel loops drowned into the center of the abdominal cavity suggestive of bowel adhesions. As compared with EPS case  2, EPS case  3 presented more abundant abdominal ascites, marked narrowing of bowel lumen and thickening of visceral and parietal peritoneum, absence of dilated bowel loop, air-fluid levels or entrapped fluid collections, and several calcifications in both parietal and visceral peritoneum. (e and f, case EPS 3) Fluorodeoxyglucose¹⁸ positron emission tomography (F¹⁸ PET) scan showed a mild increase in the tracer uptake in the peritoneal areas.

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