Malignant Pleural Mesothelioma Presenting as an Acute Surgical Abdomen due to Metastatic Jejunal Perforation

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  • Gocho Kyoko
    Department of Respiratory Medicine, Toho University Omori Medical Center
  • Isobe Kazutoshi
    Department of Respiratory Medicine, Toho University Omori Medical Center
  • Kaburaki Kyohei
    Department of Respiratory Medicine, Toho University Omori Medical Center
  • Honda Yoshiko
    Department of Internal Surgery, Toho University Omori Medical Center
  • Mitsuda Aki
    Department of Pathology, Toho University Omori Medical Center
  • Akasaka Yoshikiyo
    Department of Pathology, Toho University Omori Medical Center
  • Shimada Nagato
    Department of Internal Surgery, Toho University Omori Medical Center
  • Takagi Keigo
    Department of Chest Surgery, Toho University Omori Medical Center
  • Homma Sakae
    Department of Respiratory Medicine, Toho University Omori Medical Center

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Abstract

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.<br>

Journal

  • Internal Medicine

    Internal Medicine 49 (6), 597-601, 2010

    The Japanese Society of Internal Medicine

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