Updates in Surgery

, Volume 64, Issue 2, pp 157–160 | Cite as

Splenic localization of the peritoneal mesothelioma: case report and literature revue

  • Dario D’Abbicco
  • Angelica Conversano
  • Barbara Rita Epifania
  • Rocco Indellicato
  • Antonio Margari
Case Report
First Online:
Received:
Accepted:

Abstract

Peritoneal mesothelioma is a rare form of malignant mesothelioma, making up <30% of diagnosed mesothelioma cases. Because of a lack of specific symptoms (abdominal pain, abdominal swelling), normally it is diagnosed in advanced stages, sometimes in a surgical emergency (intestinal obstruction, severe ascites) and occasionally during image procedures or laparoscopy which can show a mass developing from peritoneal mesothelium surfaces, or an accumulation of small irregularities that may be tumors or plaques. The reported case refers to a particular localization of a peritoneal mesothelioma, the spleen, discovered only after a splenectomy, due to the clinical and radiological suspect of a rupture.

Keywords

Mesothelioma Peritoneal mesothelioma Spleen Splenectomy 
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Notes

Conflict of interest

The authors declare that there is no conflict of interest.

References

  1. 1.
    Robinson BW, Lake RA (2005) Advances in malignant mesothelioma. N Engl J Med 353:1591–1603PubMedCrossRefGoogle Scholar
  2. 2.
    Welch LS, Acherman YIZ, Haile E et al (2005) Asbestos and peritoneal mesothelioma among college-educated men. Int J Occup Environ Health 11:254–258PubMedGoogle Scholar
  3. 3.
    Antman KH, Pomfret EA, Aisner J, MacIntyre J, Osteen RT, Greenberger JS (1983) Peritoneal mesothelioma: natural history and response to chemotherapy. J Clin Oncol 1:386–391PubMedGoogle Scholar
  4. 4.
    Acherman YIZ, Welch LS, Bromley CM, Sugarbaker PH (2003) Clinical presentation of peritoneal mesothelioma. Tumori 89:269–273PubMedGoogle Scholar
  5. 5.
    de Pangher Manzini V (2005) Malignant peritoneal mesothelioma. Tumori 91:1–5PubMedGoogle Scholar
  6. 6.
    Tandar A, Abraham G, Gurka J et al (2001) Recurrent peritoneal mesothelioma with long-delayed recurrence. J Clin Gastroenterol 33:247–250PubMedCrossRefGoogle Scholar
  7. 7.
    Kebapci M, Vardareli E, Adapinar B, Acikalin M (2003) CT findings and serum ca 125 levels in malignant peritoneal mesothelioma: report of 11 new cases and review of the literature. Eur Radiol 13:2620–2626PubMedCrossRefGoogle Scholar
  8. 8.
    Pickhardt PJ, Bhalla S (2005) Primary neoplasms of peritoneal and sub-peritoneal origin: CT findings. Radiographics 25:983–995PubMedCrossRefGoogle Scholar
  9. 9.
    Sugarbaker PH, Acherman YI, Gonzalez-Moreno S et al (2002) Diagnosis and treatment of peritoneal mesothelioma: The Washington Cancer Institute experience. Semin Oncol 29:51–61PubMedCrossRefGoogle Scholar
  10. 10.
    Bridda A, Padoan I, Mencarelli R, Frego M (2007) Peritoneal mesothelioma: a review. MedGenMed 9(2):32PubMedGoogle Scholar
  11. 11.
    Weiss SW (1994) Histological typing of soft tissue tumours, 2nd edn. Springer, BerlinCrossRefGoogle Scholar
  12. 12.
    Scripcariu V, Dajbog E, Lefter L, Ferariu D, Pricop A, Grigoraş M, Dragomir C (2006) Malignant peritoneal mesothelioma. Chirurgia (Bucur) 101(6):641–646 (Article in Romanian)Google Scholar
  13. 13.
    Wysocki A, Winiarski M, Leszczyński M (1998) Primary peritoneal mesothelioma: report of two cases. Przegl Lek 55(10):552–553 (Article in Polish)PubMedGoogle Scholar
  14. 14.
    Iudakova TM (1982) Malignant mesothelioma of the peritoneum. Arkh Patol 44(5):62–64 (Article in Russian)PubMedGoogle Scholar
  15. 15.
    Espinal-Witter R, Servais EL, Klimstra DS, Lieberman MD, Yantiss RK (2010) Localized intrapancreatic malignant mesothelioma: a rare entity that may be confused with other pancreatic neoplasms. Virchows Arch 456(4):455–461PubMedCrossRefGoogle Scholar
  16. 16.
    Hanai S, Okishio N (1986) Malignant peritoneal mesothelioma of the prostate: a case report. Hinyokika Kiyo 32(11):1725–1730 (Article in Japanese)PubMedGoogle Scholar
  17. 17.
    Sethna K, Sugarbaker PH (2005) Localized visceral invasion of peritoneal mesothelioma causing intestinal obstruction: a new clinical presentation. Hepatogastroenterology 52(64):1087–1089PubMedGoogle Scholar
  18. 18.
    Naka H, Itoh Y, Okuyama T, Tanabe T, Matsuura K, Mima S, Kawauhi H, Kunita H, Hosokawa Y, Hirao M et al (1984) Localized fibrous malignant peritoneal mesothelioma in an operated patient with massive hemorrhage to the peritoneal cavity. Gan No Rinsho 30(2):185–193 (Article in Japanese)PubMedGoogle Scholar
  19. 19.
    Antropoli M, Freda F, Apicella A, Nunziata L, Cutolo PP, Antropoli C, Petronella P (2002) Peritoneal multicystic mesothelioma: unusual case of localization in the left lobe of the liver. Chir Ital 54(6):897–902 (Article in Italian)PubMedGoogle Scholar
  20. 20.
    Horling EW, Albert C, Bassermann R, Stiegler H (1996) Multicystic peritoneal mesothelioma. Zentralbl Chir 121(7):587–590 (Article in German)PubMedGoogle Scholar
  21. 21.
    Kerrigan SA, Cagle P, Churg A (2003) Malignant mesothelioma of the peritoneum presenting as an inflammatory lesion: a report of four cases. Am J Surg Pathol 27(2):248–253PubMedCrossRefGoogle Scholar
  22. 22.
    Cipollone G, Montini F, Lattanzio G, Errichi BM (1994) Peritoneal mesothelioma as a rare case of acute abdomen. Review of the literature. Chir Ital 46(6):73–79 (Article in Italian)PubMedGoogle Scholar
  23. 23.
    Sugarbaker PH (1995) Peritonectomy procedures. Ann Surg 221(1):29–42PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Dario D’Abbicco
    • 1
  • Angelica Conversano
    • 1
  • Barbara Rita Epifania
    • 1
  • Rocco Indellicato
    • 1
  • Antonio Margari
    • 1
  1. 1.U.O. di Chirurgia Generale “G. Marinaccio”, Policlinico-BariUniversità degli Studi di BariBariItaly

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