Aims: Calcifying fibrous pseudotumour, a recently characterized rare b
ut distinctive lesion, has been reported previously only in soft tissu
es and in the pleura. We describe four cases of calcifying fibrous pse
udotumour which arose in the visceral peritoneum of the small bowel an
d stomach. Methods and results: In contrast to the calcifying fibrous
pseudotumour of soft tissues which generally occurs in children, all f
our cases in our report occurred in adults, We consider the calcifying
fibrous pseudotumour to be a distinctive tissue reaction, Conclusions
: Its characteristic appearance of concentric whorls of lamellated col
lagen associated with psammoma bodies and other forms of dystrophic ca
lcification is entirely different from all other lesions displaying hy
aline collagenous deposits, such as inflammatory pseudotumour, desmoid
, hyalinizing granuloma or fibrous plaques of peritoneum.