Sclerosing peritonitis associated with bilateral luteinized thecoma, linked to anticonvulsant therapy.

摘要: OBJECTIVE To present a new case of sclerosing peritonitis associated with bilateral luteinized thecoma the ovaries, linked to anticonvulsant therapy. CASE A 22-year-old patient, receiving carbamazepine for seizures and anxiety attacks presented shortness breath, abdominal pain, nausea vomiting. Clinical imaging examinations revealed ovarian masses massive ascites. At emergency surgery, was found. Due recurrent, postoperative episodes small bowel obstruction she treated nasogastric suction, intravenous fluids electrolyte replacement. Total parenteral nutrition introduced. Since only partial improvement achieved tamoxifen administered resolution obstruction. CONCLUSIONS This is 19th ovaries 3rd be Treatment should aimed at relief symptoms, preferably conservative methods. Tamoxifen downregulation TGF-beta production considered as treatment modality, it proved very helpful in patient.