Background: Malignant peritoneal mesothelioma (PeM) is a rare form of malignant mesothelioma that accounts for 10-15% of all cases of mesothelioma. Of these rare tumors, the rhabdoid subtype is exceptionally infrequent with only three cases reported in the current literature. PeM most commonly presents with non-specific symptoms such as abdominal distention, anorexia and weight loss that are difficult to diagnose until the disease is advanced. In this case report, we present a case of malignant peritoneal rhabdoid mesothelioma and review the literature. Case presentation: The patient is a 76-year-old woman who originally presented with necrotizing pancreatitis one year prior to diagnosis. The patient continued to complain of abdominal pain, nausea, vomiting, and weight loss. She experienced recurrent deep vein thrombosis (DVT), recurrent chylous, and mucinous ascites. Diagnostic work-up including MRI, repeat CT, EUS, and MRCP were inconclusive. Additionally, cytology from multiple paracenteses were negative for malignancy. Diagnostic laparoscopy revealed diffuse carcinomatosis, abdominal wall and peritoneal implants and a large epigastric mass. Biopsies of lesions taken during the procedure were identified as peritoneal mesothelioma. Conclusions: To our knowledge, we have presented the first case of PeM with rhabdoid features present in the peritoneum and in gastric polyps. The large amount of histopathogical variation of these tumors requires surgical biopsy, as cytology alone is non-diagnostic.
| Published in | Journal of Surgery (Volume 9, Issue 5) |
| DOI | 10.11648/j.js.20210905.16 |
| Page(s) | 246-251 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Malignant Peritoneal Mesothelioma (PeM), Malignant Mesothelioma (MM), Rhabdoid Mesothelioma
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APA Style
Dorcie Gillette, Jennifer Perone, Anna Rotkiewicz, Rawan Dayah, Jing He, et al. (2021). Malignant Peritoneal Mesothelioma with Rhabdoid Features Masquerading as Idiopathic Necrotizing Pancreatitis with Mucinous Ascites: A Case Report and Literature Review. Journal of Surgery, 9(5), 246-251. https://doi.org/10.11648/j.js.20210905.16
ACS Style
Dorcie Gillette; Jennifer Perone; Anna Rotkiewicz; Rawan Dayah; Jing He, et al. Malignant Peritoneal Mesothelioma with Rhabdoid Features Masquerading as Idiopathic Necrotizing Pancreatitis with Mucinous Ascites: A Case Report and Literature Review. J. Surg. 2021, 9(5), 246-251. doi: 10.11648/j.js.20210905.16
AMA Style
Dorcie Gillette, Jennifer Perone, Anna Rotkiewicz, Rawan Dayah, Jing He, et al. Malignant Peritoneal Mesothelioma with Rhabdoid Features Masquerading as Idiopathic Necrotizing Pancreatitis with Mucinous Ascites: A Case Report and Literature Review. J Surg. 2021;9(5):246-251. doi: 10.11648/j.js.20210905.16
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Download@article{10.11648/j.js.20210905.16,
author = {Dorcie Gillette and Jennifer Perone and Anna Rotkiewicz and Rawan Dayah and Jing He and Douglas Tyler and John Patrick Walker},
title = {Malignant Peritoneal Mesothelioma with Rhabdoid Features Masquerading as Idiopathic Necrotizing Pancreatitis with Mucinous Ascites: A Case Report and Literature Review},
journal = {Journal of Surgery},
volume = {9},
number = {5},
pages = {246-251},
doi = {10.11648/j.js.20210905.16},
url = {https://doi.org/10.11648/j.js.20210905.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.16},
abstract = {Background: Malignant peritoneal mesothelioma (PeM) is a rare form of malignant mesothelioma that accounts for 10-15% of all cases of mesothelioma. Of these rare tumors, the rhabdoid subtype is exceptionally infrequent with only three cases reported in the current literature. PeM most commonly presents with non-specific symptoms such as abdominal distention, anorexia and weight loss that are difficult to diagnose until the disease is advanced. In this case report, we present a case of malignant peritoneal rhabdoid mesothelioma and review the literature. Case presentation: The patient is a 76-year-old woman who originally presented with necrotizing pancreatitis one year prior to diagnosis. The patient continued to complain of abdominal pain, nausea, vomiting, and weight loss. She experienced recurrent deep vein thrombosis (DVT), recurrent chylous, and mucinous ascites. Diagnostic work-up including MRI, repeat CT, EUS, and MRCP were inconclusive. Additionally, cytology from multiple paracenteses were negative for malignancy. Diagnostic laparoscopy revealed diffuse carcinomatosis, abdominal wall and peritoneal implants and a large epigastric mass. Biopsies of lesions taken during the procedure were identified as peritoneal mesothelioma. Conclusions: To our knowledge, we have presented the first case of PeM with rhabdoid features present in the peritoneum and in gastric polyps. The large amount of histopathogical variation of these tumors requires surgical biopsy, as cytology alone is non-diagnostic.},
year = {2021}
}
TY - JOUR T1 - Malignant Peritoneal Mesothelioma with Rhabdoid Features Masquerading as Idiopathic Necrotizing Pancreatitis with Mucinous Ascites: A Case Report and Literature Review AU - Dorcie Gillette AU - Jennifer Perone AU - Anna Rotkiewicz AU - Rawan Dayah AU - Jing He AU - Douglas Tyler AU - John Patrick Walker Y1 - 2021/10/30 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210905.16 DO - 10.11648/j.js.20210905.16 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 246 EP - 251 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210905.16 AB - Background: Malignant peritoneal mesothelioma (PeM) is a rare form of malignant mesothelioma that accounts for 10-15% of all cases of mesothelioma. Of these rare tumors, the rhabdoid subtype is exceptionally infrequent with only three cases reported in the current literature. PeM most commonly presents with non-specific symptoms such as abdominal distention, anorexia and weight loss that are difficult to diagnose until the disease is advanced. In this case report, we present a case of malignant peritoneal rhabdoid mesothelioma and review the literature. Case presentation: The patient is a 76-year-old woman who originally presented with necrotizing pancreatitis one year prior to diagnosis. The patient continued to complain of abdominal pain, nausea, vomiting, and weight loss. She experienced recurrent deep vein thrombosis (DVT), recurrent chylous, and mucinous ascites. Diagnostic work-up including MRI, repeat CT, EUS, and MRCP were inconclusive. Additionally, cytology from multiple paracenteses were negative for malignancy. Diagnostic laparoscopy revealed diffuse carcinomatosis, abdominal wall and peritoneal implants and a large epigastric mass. Biopsies of lesions taken during the procedure were identified as peritoneal mesothelioma. Conclusions: To our knowledge, we have presented the first case of PeM with rhabdoid features present in the peritoneum and in gastric polyps. The large amount of histopathogical variation of these tumors requires surgical biopsy, as cytology alone is non-diagnostic. VL - 9 IS - 5 ER -
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