A CASE OF PERITONEAL MESOTHELIOMA WITH SMALL INTESTINAL PERFORATION DUE TO DISSEMINATION

• YORIKI Ryo

  First Department of Surgery, Nara Medical University

• AOMATSU Yukio

  First Department of Surgery, Nara Medical University

• KANEHIRO Hiromichi

  First Department of Surgery, Nara Medical University

• HATA Michiaki

  First Department of Surgery, Nara Medical University

• NAKANO Hiroshige

  First Department of Surgery, Nara Medical University

Bibliographic Information

Other Title

• 腹膜中皮腫の播種性転移により小腸穿孔をきたした1例

Abstract

We report a case of peritoneal mesothelioma with small intestinal perforation. The patient was a 64-year-old man admitted to our department because of right lower abdominal pain. Previously, he had been diagnosed as having asbestosis. The patient had rebound tenderness on physical examination and free air shadow under the bilateral diaphragma was revealed by chest X-ray examination. We performed emergency laparotomy under a tentative diagnosis of generalized peritonitis due to intestinal perforation. We detected a 5cm primary tumor under the right diaphragm, the peritoneum showed extensively scattered numerous nodules less than 2cm, and a perforating metastatic tumor on the ileum located 20cm from Bauhin's valve. We performed partial resection of the ileum and reconstruction by end-to-end anastomosis. Postoperative histopathological findings revealed that the tumor of the ileum was a peritoneal mesothelioma and the central necrosis in the tumor was perforated. Histological confirmation can be achieved by immunohistochemical study with colloid-Fe. Perforated small intestinal tumor leading to peritoneal dissemination of mesothelioma is not a common disease. However, it should be taken into consideration in the differential diagnosis of other diseases caused by generalized peritonitis.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 58 (12), 2891-2895, 1997

  Japan Surgical Association

Keywords

• 腹膜中皮腫
• 汎発性腹膜炎
• 小腸穿孔

Details

• CRID: 1390282680289998976
• NII Article ID: 130003600324
• NII Article ID: 10008531747
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.58.2891
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/58/12/58_12_2891/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998123931
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed