Malignant Peritoneal Mesothelioma Presenting with Unresolving Haemorrhagic Ascites: A Case Report | Chapter 12 | Medicine and Medical Research: New Perspectives Vol. 3

Aim: We report a case of malignant peritoneal mesothelioma presenting with persistent haemorrhagic ascites.

 

Background: Peritoneal mesothelioma being a rare tumour, is difficult to diagnose and start treatment. The most common site for mesothelioma is the pleura, which is followed by the peritoneum as the second most common site. In certain instances, synchronous pleural and peritoneal mesotheliomas are seen (around 30–45% of cases). Because mesothelioma may not always show with particular symptoms or clinical findings, diagnosis can be challenging. In addition, in the absence of previous asbestos exposure, a delay in the diagnosis takes place. Here we report a case of malignant peritoneal mesotheliomas. The diagnostic and therapeutic approaches for these rare neoplasms are discussed.

 

Presentation of Case: We present a case of a 24-year-old male patient with complaints of pain abdomen (on and off) and abdominal distension for 15 days, with no inhalational exposure to asbestos, causing diagnostic confusion. He had a prior history of persistent haemorrhagic ascites, with no drug allergy. A diagnostic laparoscopy was done, showing multiple omental nodules. Omental biopsy along with immunohistochemistry leads to diagnosis of malignant peritoneal mesothelioma.

 

Discussion and Conclusion: Clinical cases of peritoneal mesotheliomas are uncommon. However, peritoneal mesotheliomas should be evaluated as one of the differential diagnoses for individuals presenting with chronic abdominal pain and ascites. Diagnosis is often overlooked by radiological investigations. Thus, a thorough clinical assessment and an extensive approach are needed to diagnose and properly treat potential patients with peritoneal mesotheliomas.

 

Author(s) Details

 

Khushboo
Department of Pathology and Lab Medicine, Medanta Hospital, Ranchi, Jharkhand, India.

 

Bikash Kumar
Department of Pathology and Lab Medicine, Medanta Hospital, Ranchi, Jharkhand, India.

 

Ramesh Chandra
Department of Gastroenterology, Medanta Hospital, Ranchi, Jharkhand, India.

Vinay Mishra
Department of General and Minimal Invasive Surgery, Medanta Hospital, Ranchi, Jharkhand, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v3/1889

Diagnosis of Rare Synchronous Pleural and Peritoneal Mesothelioma in a Domesticated Canine | Chapter 3 | Contemporary Research and Perspectives in Biological Science Vol. 2

This paper reports a rare incidence of invasive mesothelioma in both thoracic and peritoneal cavities of a two and a half year old Labrador Retriever dog and its diagnosis by cytological analysis, radiography and ultrasonogram. Malignant mesotheliomas most often affect the pleura and tend to spread locally within the originating cavity. Mesotheliomas are already rare diseases, and cases with synchronous pleural and peritoneal involvement are scarce in the literature. A male Labrador Retriever dog of two years and six months old was presented to the Teaching Veterinary Clinical Complex Veterinary College and Research Institute, Tirunelveli (Tamil Nadu, India) with the complaint of the distended ventral abdomen, respiratory distress, and exercise intolerance since 4 months and hyporexia since 7 days. The case was treated with parenteral administration of amoxicillin and cloxacillin @ 22 mg/kg b.wt. to prevent complications like peritonitis, furosemide @ 4 mg/kg b.wt. to reduce the ascites in the abdomen, prednisolone @ 0.5 mg/kg b.wt. to reduce neoplastic response (lymphocytosis), multiple amino acids (Astymin®) to alleviate hypoalbuminemia. Therapeutic options for mesothelioma include surgical resection, radiotherapy, and chemotherapy, though a low incidence of the cases in dogs leads to difficulty in the assessment of the therapeutic efficacy of drugs.

 

Author (s) Details

S. Saravanan
Department of Veterinary Medicine, Veterinary College and Research Institute, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Tirunelveli-627 358, India and Department of Veterinary Public Health and Epidemiology, Veterinary College and Research Institute, Tamil Nadu Veterinary & Animal Sciences University (TANUVAS), Namakkal-637 002, India.

 

V. Kumar
Department of Veterinary Pathology, Veterinary College and Research Institute, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Tirunelveli-627 358, India.

 

R. Ramprabhu
Department of Veterinary Clinical Medicine, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Chennai, Tamil Nadu, India.

 

R. C. Sundararajan
Department of Veterinary Medicine, Veterinary College and Research Institute, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Tirunelveli-627 358, India.

 

_{Please see the book here:- https://doi.org/10.9734/bpi/crpbs/v2/2290}

Current Advances in Geography, Environment and Earth Sciences Vol. 8| Chapter 6 | Current Advances in Geography, Environment and Earth Sciences Vol. 8

 Indoor air characteristic is an essential component of sustainable housing. To build sustainable backgrounds, health dangers to a degree mould and other allergens, explosion pollutants, volatile basic compounds, radon, lead, and asbestos must be prevented. Ways of doing so include the use of water-governed building foundations, ground drainage, able ventilation, informed collection of equipment for space adapting and water heating, material selections, and sub-slab the act of providing or changing the air. Lead and asbestos are issues in the rehabilitation of earlier homes, and they are dealt with utilizing well-established best practises. The aim of this study is to examine indoor environmental poisons, their effects on human fitness, and ways to avoid and weaken exposure. Materials used for this purpose contain books, journal publications, and WWW resources.  The occupancy of asthma triggers in houses has enhance a more important indoor material concern, which will be debated in greater detail.

Author(s) Details:

Joseph Laquatra,
Department of Human Centered Design, Cornell University, USA.

Please see the link here: https://stm.bookpi.org/CAGEES-V8/article/view/8686