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.
Gocho
Kyoko
K
Department of Respiratory Medicine, Toho University Omori Medical Center, Tokyo.
Isobe
Kazutoshi
K
Kaburaki
Kyohei
K
Honda
Yoshiko
Y
Mitsuda
Aki
A
Akasaka
Yoshikiyo
Y
Shimada
Nagato
N
Takagi
Keigo
K
Homma
Sakae
S
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