Primary peritoneal mesothelioma

Case contributed by Dr Maxime St-Amant

Presentation

Acute abdominal pain. The patient reported chronic weight loss. Possible asbestos exposure.

Patient Data

Age: 76
Gender: Male

CT-scan shows extensive ascites, including interloop ascites, with important tissular infiltration of the greater omentum & associated enhancement. No pleural plaques were seen on the chest CT-scan. The diagnosis is either abdominal mesothelioma or peritoneal carcinomatosis of unknown origin.

Multiple liver lesions are seen, all of which show nodular peripheral enhancement. Haemangiomas are favoured and metastases are unlikely, but not entirely excluded. Liver MRI was suggested.

Case Discussion

The histopathological diagnosis was finally abdominal mesothelioma.

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Case information

rID: 20431
Case created: 20th Nov 2012
Last edited: 11th Oct 2015
Inclusion in quiz mode: Included

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