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Non-Small Cell Lung Carcinoma Presenting as Isolated Malignant Ascites in the Absence of a Detectable Primary Tumor:
Angad Tiwari1, Ashish Sharma2, Monica Lewkowicz2
1Department of Internal Medicine Maharani Laxmi Bai Medical College Jhansi Uttar Pradesh India.
Clinical Case Reports
|July 15, 2026
Abstract:
An 89-year-old woman presented with abdominal distension and altered mental status. Non-portal-hypertensive ascites suggested spontaneous bacterial peritonitis, but ascitic-fluid cytology with immunoprofiling and circulating tumor-DNA confirmed non-small cell lung carcinoma despite no detectable primary tumor, underscoring early consideration of malignancy in unexplained ascites.