Concurrent alcoholic cirrhosis and malignant peritoneal mesothelioma in a patient:A case report  

作　　者：Liang Liu Xiao-Yan Zhu Wen-Jie Zong Chuan-Lian Chu Jing-Yu Zhu Xing-Jie Shen 

机构地区：[1]Department of Gastroenterology,Central Hospital Affiliated to Shandong First Medical University,Jinan 250011,Shandong Province,China [2]Department of Gastroenterology,Jinan Clinical Research Center for Digestive Diseases,Jinan 250011,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2022年第19期6716-6721,共6页世界临床病例杂志

基　　金：Shandong Province Medical and Health Science and Technology Development Plan,No.202003030878.

摘　　要：BACKGROUND Malignant peritoneal mesothelioma(MPM)originates from the mesothelial and subcutaneous cells of the abdominal cavity.Its diagnose is difficult due to its nonspecific and vague symptoms,and it should be differentiated from alcoholic cirrhosis and liver and pancreatic cancers.Misdiagnosis and missed diagnosis can easily occur when MPM presents with other diseases.To the best of our knowledge,no case of MPM concurrent with alcoholic cirrhosis has been reported.CASE SUMMARY A 63-year-old man presented to our hospital with abdominal distension for 20days.He had a history of alcohol consumption for nearly 30 years and no history of special drug use or toxic exposure.After treatment for alcoholic cirrhosis in a community hospital,his symptoms did not improve significantly.The patient underwent exploratory laparotomy and surgical resection.Pathologic examination showed an epithelioid MPM.He was treated with chemotherapy and intraperitoneal hyperthermic perfusion after surgery.Currently,he is in a stable condition and tumor recurrence has not occurred.CONCLUSION Misdiagnosis and missed diagnosis of MPM can easily occur because of its insidious onset.Therefore,there is a need to understand.MPM in clinical practice,make the correct diagnosis,and provide timely and effective treatment.

关 键 词：Malignant peritoneal mesothelioma Abdominal distension ASCITES CIRRHOSIS Computed tomography Case report 

分 类 号：R575.2[医药卫生—消化系统] R735.5[医药卫生—内科学]