Case Report


A rare presentation of malignant peritoneal mesothelioma in a 22-year-old man

,  ,  ,  

1 Department of Medicine, Einstein Medical Center, Philadelphia, PA, USA

2 Division of Gastroenterology and Hepatology at Einstein Medical Center, Philadelphia, PA, USA

Address correspondence to:

Simone A Jarrett

Internal Medicine, Einstein Medical Center, Philadelphia, 5501 Old York Road, Philadelphia, Pennsylvania 19141,

USA

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Article ID: 100101Z10SJ2022

doi: 10.5348/100101Z10SJ2022CR

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How to cite this article

Jarrett SA, Chiang B, Hiedra R, Kalman RS. A rare presentation of malignant peritoneal mesothelioma in a 22-year-old man. J Case Rep Images Oncology 2022;8:100101Z10SJ2022.

ABSTRACT


Introduction: Peritoneal mesothelioma is a rare malignancy. The etiology is unclear but a majority of cases are associated with asbestos exposure and heavy metal exposure. There is also no standardized management for this disease.

Case Report: This is a 22-year-old man who presented with ascites with no history of asbestosis or heavy metal exposure. He had a computed tomography (CT) scan completed that showed extensive metastatic disease involving lymph nodes above and below the diaphragm, peritoneal carcinomatosis, and large bilateral pleural effusions. An omental node biopsy confirmed the diagnosis of primary malignant peritoneal mesothelioma (MPM). He was started on a palliative chemotherapy regimen, extrapolated from pleural mesothelioma treatment, which consisted of cisplatin and pemetrexed.

Conclusion: Further research into possible risk factors and exposures that cause MPM, as well as forming standardized treatment is needed to improve prognosis and management of these patients.

Keywords: Ascites, Cancer, Mesothelioma, Oncology, Rare, Young adult

SUPPORTING INFORMATION


Author Contributions

Simone A Jarrett - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Brenda Chiang - Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Raul Hiedra - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Richard S Kalman - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Simone A Jarrett et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.