PMC9529488_01
Abdominal CT scans of the patient in 2009 (a), showing mild linear peritoneal calcifications (arrows), which became full-blown calcifications of the visceral small bowel peritoneum a year later in 2010 (b) that remained or minimally increased over the next five years (2015 (c)). (d) Processed sagittal plane image of the 2015 abdominal scan showing the extent of bowel wall calcifications.
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Abdominal computed tomography (CT) (Figure1(a)) showed a:rather expected after long-term PD:focal thickening of the peritoneal membrane suggestive of peritoneal sclerosis but no localization or distension of the bowel loops with no cocooning or signs of bowel obstruction. An abdominal CT scan (Figure 1(b)) confirmed the diagnosis of calcifying peritonitis, revealing extensive eggshell calcification along the bowel wall, but again no signs of cocooning, localization of the bowel loops, or obstructive ileus were observed. Follow-up abdominal CT 5 years later (Figure 1(c)) confirmed the extensive linear calcification of the small intestinal loops, affecting mostly the intestinal splanchnic peritoneum but without any signs of cocooning or intestinal obstruction.
Plain abdominal films of the patient, without any contrast media, showing extensive calcifications of the bowel wall in 2010 (a) and five years later, in 2015 (b).
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Plain abdominal radiographs revealed extensive linear calcifications along the small intestinal wall, outlining, like a calcified eggshell (Figure 2(a)).