Chronic vague abdominal pain and constipation and weight loss.
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Abdominopelvic MRI with GAD shows extensive ascites with diffuse infiltration of greater omentum and associated enhancment.
The histopathological diagnosis was finally abdominal mesothelioma. Peritoneal mesothelioma does not tend to spread to distant organs and lymphadenopathy is usually not a feature.
Case courtesy of Dr Fateme Hosseinabadi