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J Med Case Rep. 2008 Apr 25;2:121. doi: 10.1186/1752-1947-2-121.

Malignant peritoneal mesothelioma as a rare cause of ascites: a case report.

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1
Department of Gastroenterology, North Cheshire Hospitals NHS Trust, Warrington, UK. ansari35@yahoo.com

Abstract

INTRODUCTION:

Peritoneal mesothelioma is a rare tumor with diagnostic and therapeutic problems. The peritoneum is the second most common site for development of mesothelioma, which in 30-45% of cases is associated with a synchronous pleural mesothelioma. Clinical symptoms and findings may be confusing and diagnosis can be easily overlooked especially in cases where there is no previous asbestos exposure.

CASE PRESENTATION:

We report a case of malignant peritoneal mesothelioma in a 75-year-old woman who presented with ascites which, in the absence of inhalational exposure to asbestos, caused diagnostic confusion, and evaded radiological detection.

CONCLUSION:

We concluded from this case that Peritoneal Mesothelioma although rare but should be considered among the differential diagnosis of Ascites.

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