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[Nodular peritoneal mesothelioma: apropos of an occasional report]
M Basile1, A Capanna, L Ritrovato
1Scuola di Specializzazione in Chirurgia d'Urgenza e Pronto Soccorso, Università degli Studi G. D'Annunzio, Chieti.
Abstract:
The complicated post-operative course of a patient who underwent an inguinal herniotomy, has allowed the diagnosis of peritoneal mesothelioma during laparotomy. This highlight the alternatives of an aggressive procedure, such as laparotomy, or a less invasive one, such as laparoscopy. The diagnostic criterion, should be when the clinical course suggests a peritoneal neoplasia; our more invasive technique allowed to perform an operation on the patient's internal organs which should be performed after laparoscopy anyway.
Insights
Diagnosis of peritoneal mesothelioma occurred unexpectedly during laparotomy for inguinal herniotomy. This case highlights the surgical approach dilemma between aggressive laparotomy and less invasive laparoscopy for suspected peritoneal neoplasia.
Area of Science:
- Surgical Oncology
- Abdominal Surgery
Background:
- Peritoneal mesothelioma is a rare malignancy.
- Inguinal herniotomy is a common surgical procedure.
- Diagnostic challenges in peritoneal neoplasia exist.