41-year-old woman, abdominal pain six weeks after caesarean section.

At surgery: ascites; numerous micronodules affecting the peritoneal cavity, the omentum, the surface of the uterus, and ovaries. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, and omentectomy.

Short remission period following surgery. Recurrent abdominal pain. Laparascopy: intestinal fistula. Patient referred to our hospital for the treatment of intestinal fistula.

Heteregenous nodule of the parietal pleura invading the dermis, with osteolysis of the rib, revealed by Computed tomography. Two weeks later, laparotomy: loops of small bowel matted together, covered by numerous deposits of firm white tissue, which formed nodules and plaques on both visceral and parietal peritoneal surface as well as in Pouch of Douglas. Resection of matted loops of small bowel.

The patient’s condition gradually deteriorated and she died 14 months after the onset of symptoms.