Malignant pleural mesothelioma presenting as an acute surgical abdomen due to metastatic jejunal perforation.
A 52-year-old man was admitted to our hospital in June 2008 presenting abnormal tumor lesions along the left pleura on chest X-ray. The needle-biopsied specimen of the left pleura proved the biphasic type of malignant mesothelioma. However, he complained of acute abdominal pain 7 days after the diagnosis. Chest X-ray revealed free air below the right diaphragm. Emergency surgery revealed a 4-cm perforating jejunal tumor with peritonitis. Histopathology of the resected jejunum demonstrated a metastatic tumor of malignant pleural mesothelioma. This is the first reported case of malignant pleural mesothelioma presenting as an acute surgical abdomen due to jejunal metastasis with perforation.
Department of Respiratory Medicine, Toho University Omori Medical Center, Tokyo.
Kyoko
K
Gocho
Kazutoshi
K
Isobe
Kyohei
K
Kaburaki
Yoshiko
Y
Honda
Aki
A
Mitsuda
Yoshikiyo
Y
Akasaka
Nagato
N
Shimada
Keigo
K
Takagi
Sakae
S
Homma
D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology; D001707:Biopsy, Needle / Q000009:adverse effects; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D007583:Jejunum / Q000293:injuries*; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000556:secondary*; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000473:pathology*; D012421:Rupture / Q000150:complications / Q000175:diagnosis