Para-normal-centesis: Percutaneous suction and traction removal of sclerosing peritonitis.

Curtis A Plante, Anant D Bhave, Bruce J McClellan, Chelsea I Majdalany, Molly Feller, Bill S Majdalany

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Curtis A PlanteDivision of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Anant D BhaveDivision of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Bruce J McClellanDivision of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Chelsea I MajdalanyDivision of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Molly FellerDepartment of Pathology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Bill S MajdalanyDivision of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sclerosing peritonitis is uncommon and often arises as sequala of inflammation and may be asymptomatic or present with variable gastrointestinal symptoms. This case describes a 41-year-old female with decompensated alcoholic cirrhosis and refractory ascites who developed recurrent spontaneous bacterial peritonitis. Months later, she presented with failure to drain ascites on repeated paracentesis. Loculations and echogenic debris were visualized on abdominal ultrasound and percutaneous removal was performed revealing a 40 cm long pale white cord. Histopathologic analysis indicated features of sclerosing peritonitis without evidence of malignancy. This case demonstrates the unusual presentation, diagnosis, and treatment of sclerosing peritonitis, which only came to clinical attention when it impeded paracentesis in a patient with contraindications to other management options. Removal of this sclerotic tissue restored the ability to perform successful large-volume paracentesis for her refractory ascites.

Indexed as

ParacentesisSclerosing peritonitisSpontaneous bacterial peritonitis

Identifiers

PMID42293474

DOI10.1016/j.radcr.2026.05.021

PMCPMC13264225

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LicenceCC BY-NC-ND

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