Kerosky Zachary P, Powell Charleston R, Lindholm Phillip C
Internal Medicine, Madigan Army Medical Center, Tacoma, USA.
Internal Medicine, Weed Army Community Hospital, Fort Irwin, USA.
Cureus. 2022 Jul 26;14(7):e27286. doi: 10.7759/cureus.27286. eCollection 2022 Jul.
Mesothelioma is a difficult-to-detect neoplasm that rarely develops in the peritoneum. In patients with unexplained ascites, pleural fluid analysis and ultrasonography is often the first step to achieving a diagnosis. This case report shares a unique presentation in which a patient who presented with unexplained ascites, was initially thought to have cirrhosis but was later found to have malignant peritoneal mesothelioma after cross-sectional imaging and tissue acquisition. This case illustrates the importance of a high clinical index of suspicion for mesothelioma given its variety of clinical presentations, as well as the utility of early cross-sectional imaging in such cases.
间皮瘤是一种难以检测的肿瘤，很少在腹膜中发生。在患有不明原因腹水的患者中，胸腔积液分析和超声检查通常是实现诊断的第一步。本病例报告分享了一个独特的病例，一名出现不明原因腹水的患者最初被认为患有肝硬化，但后来在进行横断面成像和组织采集后被发现患有恶性腹膜间皮瘤。该病例说明了鉴于间皮瘤临床表现多样，对其保持高度临床怀疑指数的重要性，以及早期横断面成像在此类病例中的作用。
