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CASE REPORT
Acute severe abdominal pain in a young woman caused by a well-differentiated papillary mesothelioma of the peritoneum
  1. Jelle E Bousema1,
  2. Koen M van de Luijtgaarden1,
  3. Suzanne Wilhelmus2 and
  4. Marijn M Poelman1
  1. 1 Surgery, Franciscus Gasthuis en Vlietland, Rotterdam, The Netherlands
  2. 2 Pathology, Pathan B.V., Rotterdam, The Netherlands
  1. Correspondence to Jelle E Bousema, j.bousema{at}franciscus.nl

Abstract

Acute abdominal pain is a common symptom in young women. We describe a patient with acute illness and severe lower abdominal pain. Laboratory tests were normal except for mildly deranged inflammatory markers. No abnormalities were reported on abdominal ultrasonography and MRI, whereas diagnostic laparoscopy revealed a tumour located dorsally from the uterus. We resected the tumour and pathology results showed a well-differentiated papillary mesothelioma of the peritoneum (WDPMP). Microscopy showed evidence of acute ischaemia in the resected lesion, which was likely the cause of the acute abdominal pain. WDPMP is a rare disease that arises from the serous membranes which does not seem to have a relation to asbestos exposure. Generally, WDPMP has a mild clinical course and good long-term prognosis.

  • surgery
  • gastrointestinal surgery
  • pathology
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Footnotes

  • Contributors All authors were involved in the treatment of the patient. JEB and KMvdL drafted the manuscript,which is critically revised by SW and MMP. All authors approved the final version of the manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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