A case of malignant peritoneal mesothelioma with a Fitz-Hugh-Curtis syndrome-like imaging finding
Malignant peritoneal mesothelioma (MPeM) is a rare disease with a poor prognosis that develops in the mesothelial cells of the peritoneum. We encountered a 48-year-old man with no prior asbestos exposure who visited our hospital with abdominal pain. Laboratory findings showed elevated C-reactive pro...
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| Veröffentlicht in: | Clinical journal of gastroenterology 2023-06, Vol.16 (3), p.372-376 |
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| creator | Iwadare, Takanobu Kimura, Takefumi Nagata, Yusuke Suzuki, Hiroshi Kunimoto, Hideo Kitabatake, Hiroyuki Seki, Ayako Ochi, Yasuhide Hara, Etsuo Umemura, Takeji |
| description | Malignant peritoneal mesothelioma (MPeM) is a rare disease with a poor prognosis that develops in the mesothelial cells of the peritoneum. We encountered a 48-year-old man with no prior asbestos exposure who visited our hospital with abdominal pain. Laboratory findings showed elevated C-reactive protein of 15.5 mg/dL. Contrast-enhanced computed tomography (CT) detected a Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface and thickening of the peritoneum. Blood culture, Mycobacterium tuberculosis-specific IFN-γ release assay, Chlamydia trachomatis and Neisseria gonorrhoeae DNA testing, and antinuclear antibody were all negative. CA125 was high at 124.8 U/mL. The laparoscopy for diagnostic purposes revealed adhesions between the liver surface and peritoneum in addition to numerous small and large white nodules on the peritoneum. Biopsy of the nodules confirmed the diagnosis of epithelial-type MPeM. Treatment was initiated with combined cisplatin and pemetrexed, and CT 6 months later showed a reduced contrast effect on the liver surface and improved peritoneal thickening. A Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface on contrast-enhanced CT may help identify MPeM. |
| doi_str_mv | 10.1007/s12328-023-01770-5 |
| format | Article |
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We encountered a 48-year-old man with no prior asbestos exposure who visited our hospital with abdominal pain. Laboratory findings showed elevated C-reactive protein of 15.5 mg/dL. Contrast-enhanced computed tomography (CT) detected a Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface and thickening of the peritoneum. Blood culture, Mycobacterium tuberculosis-specific IFN-γ release assay, Chlamydia trachomatis and Neisseria gonorrhoeae DNA testing, and antinuclear antibody were all negative. CA125 was high at 124.8 U/mL. The laparoscopy for diagnostic purposes revealed adhesions between the liver surface and peritoneum in addition to numerous small and large white nodules on the peritoneum. Biopsy of the nodules confirmed the diagnosis of epithelial-type MPeM. Treatment was initiated with combined cisplatin and pemetrexed, and CT 6 months later showed a reduced contrast effect on the liver surface and improved peritoneal thickening. A Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface on contrast-enhanced CT may help identify MPeM.</description><identifier>ISSN: 1865-7257</identifier><identifier>EISSN: 1865-7265</identifier><identifier>DOI: 10.1007/s12328-023-01770-5</identifier><identifier>PMID: 36781827</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Abdominal Surgery ; Case Report ; Colorectal Surgery ; Female ; Gastroenterology ; Hepatitis - diagnosis ; Hepatology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mesothelioma - diagnosis ; Mesothelioma - diagnostic imaging ; Mesothelioma, Malignant ; Middle Aged ; Pelvic Inflammatory Disease - diagnosis ; Peritoneal Neoplasms - diagnostic imaging ; Peritoneal Neoplasms - drug therapy ; Peritonitis - diagnosis ; Surgical Oncology</subject><ispartof>Clinical journal of gastroenterology, 2023-06, Vol.16 (3), p.372-376</ispartof><rights>Japanese Society of Gastroenterology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Japanese Society of Gastroenterology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c322t-8c65d69261c887b8e9b360973ea5b031c4a008a2bcb0c213a217514a1e5e51fa3</cites><orcidid>0000-0002-1481-1029</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12328-023-01770-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12328-023-01770-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36781827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwadare, Takanobu</creatorcontrib><creatorcontrib>Kimura, Takefumi</creatorcontrib><creatorcontrib>Nagata, Yusuke</creatorcontrib><creatorcontrib>Suzuki, Hiroshi</creatorcontrib><creatorcontrib>Kunimoto, Hideo</creatorcontrib><creatorcontrib>Kitabatake, Hiroyuki</creatorcontrib><creatorcontrib>Seki, Ayako</creatorcontrib><creatorcontrib>Ochi, Yasuhide</creatorcontrib><creatorcontrib>Hara, Etsuo</creatorcontrib><creatorcontrib>Umemura, Takeji</creatorcontrib><title>A case of malignant peritoneal mesothelioma with a Fitz-Hugh-Curtis syndrome-like imaging finding</title><title>Clinical journal of gastroenterology</title><addtitle>Clin J Gastroenterol</addtitle><addtitle>Clin J Gastroenterol</addtitle><description>Malignant peritoneal mesothelioma (MPeM) is a rare disease with a poor prognosis that develops in the mesothelial cells of the peritoneum. We encountered a 48-year-old man with no prior asbestos exposure who visited our hospital with abdominal pain. Laboratory findings showed elevated C-reactive protein of 15.5 mg/dL. Contrast-enhanced computed tomography (CT) detected a Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface and thickening of the peritoneum. Blood culture, Mycobacterium tuberculosis-specific IFN-γ release assay, Chlamydia trachomatis and Neisseria gonorrhoeae DNA testing, and antinuclear antibody were all negative. CA125 was high at 124.8 U/mL. The laparoscopy for diagnostic purposes revealed adhesions between the liver surface and peritoneum in addition to numerous small and large white nodules on the peritoneum. Biopsy of the nodules confirmed the diagnosis of epithelial-type MPeM. Treatment was initiated with combined cisplatin and pemetrexed, and CT 6 months later showed a reduced contrast effect on the liver surface and improved peritoneal thickening. A Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface on contrast-enhanced CT may help identify MPeM.</description><subject>Abdominal Surgery</subject><subject>Case Report</subject><subject>Colorectal Surgery</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatitis - diagnosis</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesothelioma - diagnosis</subject><subject>Mesothelioma - diagnostic imaging</subject><subject>Mesothelioma, Malignant</subject><subject>Middle Aged</subject><subject>Pelvic Inflammatory Disease - diagnosis</subject><subject>Peritoneal Neoplasms - diagnostic imaging</subject><subject>Peritoneal Neoplasms - drug therapy</subject><subject>Peritonitis - diagnosis</subject><subject>Surgical Oncology</subject><issn>1865-7257</issn><issn>1865-7265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9PGzEQxa2qCFLgC_RQ-diLy9jGf3KMolKQInGBs-V1Zjemu3Zq76oKn54toRw5vZHmvaeZHyFfOfzgAOaqciGFZSAkA24MMPWJLLjVihmh1ef3WZkz8qXWJwAtwMhTcia1sdwKsyB-RYOvSHNLB9_HLvk00j2WOOaEvqcD1jzusI958PRvHHfU05s4PrPbqdux9VTGWGk9pG3JA7I-_kYaB9_F1NE2pu2sF-Sk9X3Fyzc9J483Px_Wt2xz_-tuvdqwIIUYmQ1abfVSaB6sNY3FZSM1LI1ErxqQPFx7AOtFExoIgksvuFH82nNUqHjr5Tn5fuzdl_xnwjq6IdaAfe8T5qk6YYxWXGmA2SqO1lByrQVbty_z1eXgOLh_aN0RrZvRule0Ts2hb2_9UzPg9j3yn-VskEdDnVepw-Ke8lTS_PNHtS-4S4Q_</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Iwadare, Takanobu</creator><creator>Kimura, Takefumi</creator><creator>Nagata, Yusuke</creator><creator>Suzuki, Hiroshi</creator><creator>Kunimoto, Hideo</creator><creator>Kitabatake, Hiroyuki</creator><creator>Seki, Ayako</creator><creator>Ochi, Yasuhide</creator><creator>Hara, Etsuo</creator><creator>Umemura, Takeji</creator><general>Springer Nature Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1481-1029</orcidid></search><sort><creationdate>20230601</creationdate><title>A case of malignant peritoneal mesothelioma with a Fitz-Hugh-Curtis syndrome-like imaging finding</title><author>Iwadare, Takanobu ; Kimura, Takefumi ; Nagata, Yusuke ; Suzuki, Hiroshi ; Kunimoto, Hideo ; Kitabatake, Hiroyuki ; Seki, Ayako ; Ochi, Yasuhide ; Hara, Etsuo ; Umemura, Takeji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-8c65d69261c887b8e9b360973ea5b031c4a008a2bcb0c213a217514a1e5e51fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Case Report</topic><topic>Colorectal Surgery</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatitis - diagnosis</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesothelioma - diagnosis</topic><topic>Mesothelioma - diagnostic imaging</topic><topic>Mesothelioma, Malignant</topic><topic>Middle Aged</topic><topic>Pelvic Inflammatory Disease - diagnosis</topic><topic>Peritoneal Neoplasms - diagnostic imaging</topic><topic>Peritoneal Neoplasms - drug therapy</topic><topic>Peritonitis - diagnosis</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iwadare, Takanobu</creatorcontrib><creatorcontrib>Kimura, Takefumi</creatorcontrib><creatorcontrib>Nagata, Yusuke</creatorcontrib><creatorcontrib>Suzuki, Hiroshi</creatorcontrib><creatorcontrib>Kunimoto, Hideo</creatorcontrib><creatorcontrib>Kitabatake, Hiroyuki</creatorcontrib><creatorcontrib>Seki, Ayako</creatorcontrib><creatorcontrib>Ochi, Yasuhide</creatorcontrib><creatorcontrib>Hara, Etsuo</creatorcontrib><creatorcontrib>Umemura, Takeji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwadare, Takanobu</au><au>Kimura, Takefumi</au><au>Nagata, Yusuke</au><au>Suzuki, Hiroshi</au><au>Kunimoto, Hideo</au><au>Kitabatake, Hiroyuki</au><au>Seki, Ayako</au><au>Ochi, Yasuhide</au><au>Hara, Etsuo</au><au>Umemura, Takeji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of malignant peritoneal mesothelioma with a Fitz-Hugh-Curtis syndrome-like imaging finding</atitle><jtitle>Clinical journal of gastroenterology</jtitle><stitle>Clin J Gastroenterol</stitle><addtitle>Clin J Gastroenterol</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>16</volume><issue>3</issue><spage>372</spage><epage>376</epage><pages>372-376</pages><issn>1865-7257</issn><eissn>1865-7265</eissn><abstract>Malignant peritoneal mesothelioma (MPeM) is a rare disease with a poor prognosis that develops in the mesothelial cells of the peritoneum. We encountered a 48-year-old man with no prior asbestos exposure who visited our hospital with abdominal pain. Laboratory findings showed elevated C-reactive protein of 15.5 mg/dL. Contrast-enhanced computed tomography (CT) detected a Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface and thickening of the peritoneum. Blood culture, Mycobacterium tuberculosis-specific IFN-γ release assay, Chlamydia trachomatis and Neisseria gonorrhoeae DNA testing, and antinuclear antibody were all negative. CA125 was high at 124.8 U/mL. The laparoscopy for diagnostic purposes revealed adhesions between the liver surface and peritoneum in addition to numerous small and large white nodules on the peritoneum. Biopsy of the nodules confirmed the diagnosis of epithelial-type MPeM. Treatment was initiated with combined cisplatin and pemetrexed, and CT 6 months later showed a reduced contrast effect on the liver surface and improved peritoneal thickening. A Fitz-Hugh-Curtis syndrome-like contrast effect on the liver surface on contrast-enhanced CT may help identify MPeM.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>36781827</pmid><doi>10.1007/s12328-023-01770-5</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-1481-1029</orcidid></addata></record> |
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| subjects | Abdominal Surgery Case Report Colorectal Surgery Female Gastroenterology Hepatitis - diagnosis Hepatology Humans Male Medicine Medicine & Public Health Mesothelioma - diagnosis Mesothelioma - diagnostic imaging Mesothelioma, Malignant Middle Aged Pelvic Inflammatory Disease - diagnosis Peritoneal Neoplasms - diagnostic imaging Peritoneal Neoplasms - drug therapy Peritonitis - diagnosis Surgical Oncology |
| title | A case of malignant peritoneal mesothelioma with a Fitz-Hugh-Curtis syndrome-like imaging finding |
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