Peritoneal mesothelioma as an incidental finding during inguinal hernia surgery
Julian Ramin Andresen1, Emerson Leonardo Monteiro2, Marc Olaf Liedke3
1Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Abstract:
Malignant peritoneal mesothelioma is a rare tumor disease, usually associated with asbestos exposure, which is often only diagnosed at an advanced stage. We report the case of a 52-year-old patient who was found to have marked ascites during surgery for a recurrent inguinal hernia. Subsequent diagnostics, including diagnostic laparoscopy, established the diagnosis of malignant epithelioid peritoneal mesothelioma. After tumor reduction by omentum resection and hyperthermic intraperitoneal chemotherapy, a complete remission was achieved. The case underlines the importance of differentiated clarification of unclear intra-abdominal findings in high-risk patients with possible asbestos exposure.
Insights
Malignant peritoneal mesothelioma, a rare cancer linked to asbestos, was diagnosed in a patient with ascites. Surgical tumor reduction and chemotherapy led to complete remission, highlighting early diagnosis importance.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Malignant peritoneal mesothelioma is a rare neoplasm.
- It is frequently linked to asbestos exposure.
- Diagnosis is often delayed until advanced stages.
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