Benign multicystic peritoneal mesothelioma presenting as appendiceal abscess: a diagnostic and therapeutic challenge
Seretis, Charalampos Elhassan, Ali Mohamed Kretzmer, Leo Lim, Paul Menon, Anitha Suseelan Awodiya, Afolabi Kanchustambam, Subba Rao.
Seretis, Charalampos
Elhassan, Ali Mohamed
Kretzmer, Leo
Lim, Paul
Menon, Anitha Suseelan
Awodiya, Afolabi
Kanchustambam, Subba Rao.
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Affiliation
George Eliot Hospital NHS Trust, Nuneaton
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Publication date
2020-06-18
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Abstract
Primary peritoneal tumors are rarely encountered and their management is usually challenging for the clinicians. Especially when the patients with advanced peritoneal malignancy present as surgical emergencies, usually with symptoms of obstruction, perforation or gross space-occupying lesions, the on-call surgical team has to weigh the pros and cons of urgent versus delayed treatment and plans a safe and simultaneously oncologically beneficial therapeutic approach. Herein, we present a case of a Caucasian man who was referred as suspected complicated appendicitis by his primary care physician, with the final diagnosis being benign multicystic mesothelioma. We describe the challenges of the clinical decision making for the emergency general surgeon and relevant diagnostic and therapeutic pitfalls, which can be potentially minimized by early liaison with tertiary units specializing in the treatment of disseminated peritoneal malignancy.
Citation
Seretis C, Elhassan AM, Kretzmer L, Lim P, Menon AS, Awodiya A, Kanchustambam SR. Benign Multicystic Peritoneal Mesothelioma Presenting as Appendiceal Abscess: A Diagnostic and Therapeutic Challenge. Gastroenterology Res. 2020 Jun;13(3):117-120. doi: 10.14740/gr1278. Epub 2020 Jun 18.
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Article