Peritoneal mesothelioma causing small bowel obstruction in COVID-19 positive patient

Aakash Trivedi1, Ahmad Hlayhel1, Zamaan Hooda1

  • 1Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ, USA.

Insights

Malignant peritoneal mesothelioma is an aggressive cancer. This case highlights its presentation as a small bowel obstruction, a rare but critical symptom.

Area of Science:

  • Oncology
  • Pathology
  • Gastroenterology

Background:

  • Mesothelioma can affect various body cavities, including the pleura, peritoneum, and pericardium.
  • Malignant peritoneal mesothelioma is recognized as an aggressive neoplastic process.
  • Small bowel obstruction is a significant clinical presentation requiring prompt diagnosis and management.

Observation:

  • A patient presented with symptoms indicative of a small bowel obstruction.
  • Diagnostic workup was initiated to determine the cause of the obstruction.

Findings:

  • Pathological examination of the resected tissue revealed malignant peritoneal mesothelioma.
  • The tumor's origin was identified as the peritoneum, presenting atypically as a bowel obstruction.

Implications:

  • This case underscores the importance of considering rare diagnoses in patients with bowel obstruction.
  • Early recognition of malignant peritoneal mesothelioma, even with unusual presentations, is crucial for patient outcomes.
  • Further research into the diverse clinical manifestations of peritoneal mesothelioma is warranted.

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