Malignant peritoneal mesothelioma in a pediatric patient presenting as traumatic hemoperitoneum

Wei Chou Chang, Chang Hsien Liu, Chih Chun Chu, Ting Ywan Chou, Chia Chun Hsu, Cheng Yu Chen, Chih Yung Yu

Research output: Contribution to journalArticlepeer-review

Abstract

Primary diffuse malignant peritoneal mesothelioma (MPM) is a rare malignancy, especially in pediatric patients. We describe a 15-year-old girl with diffuse MPM presenting with bloody ascites, anemia, and abdominal pain, who had a history of blunt abdominal injury about 3 days before admission. Emergent computed tomographic (CT) scans revealed massive ascites with multiple high-density mass-like lesions occupying the mesentery and omentum. The initial clinical presentation was misdiagnosed as traumatic hemoperitoneum. The patient underwent exploratory laparotomy and histologic diagnosis was established by immunohistochemistry.

Original languageEnglish
Pages (from-to)155-158
Number of pages4
JournalChinese Journal of Radiology
Volume31
Issue number3
Publication statusPublished - Jun 2006
Externally publishedYes

Keywords

  • Hemoperitoneum
  • Malignant mesothelioma
  • Peritoneum

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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