Malignant Pleural Mesothelioma Presenting as an Acute Surgical Abdomen due to Metastatic Jejunal Perforation
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概要
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A 52-year-old man was admitted to our hospital in June 2008 presenting abnormal tumor lesions along the left pleura on chest X-ray. The needle-biopsied specimen of the left pleura proved the biphasic type of malignant mesothelioma. However, he complained of acute abdominal pain 7 days after the diagnosis. Chest X-ray revealed free air below the right diaphragm. Emergency surgery revealed a 4-cm perforating jejunal tumor with peritonitis. Histopathology of the resected jejunum demonstrated a metastatic tumor of malignant pleural mesothelioma. This is the first reported case of malignant pleural mesothelioma presenting as an acute surgical abdomen due to jejunal metastasis with perforation.
著者
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Gocho Kyoko
Department of Respiratory Medicine, Toho University Omori Medical Center
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Kaburaki Kyohei
Department of Respiratory Medicine, Toho University Omori Medical Center
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Akasaka Yoshikiyo
Department Of Pathology School Of Medicine Toho University
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Mitsuda Aki
Department Of Pathology Omori Hospital Toho University School Of Medicine
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Shimada Nagato
Department Of General Medicine And Emergency Care Toho University School Of Medicine
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Homma Sakae
Department Of Respiratory Medicine Respiratory Center
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Takagi Keigo
Department Of Chest Surgery Toho University Medical Center Omori Hospital
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Honda Yoshiko
Department Of Anatomy School Of Medicine Tokyo Women's Medical University
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Isobe Kazutoshi
Department Of Respiratory Medicine Toho University Omori Medical Center
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Akasaka Yoshikiyo
Department of Pathology, Toho University Omori Medical Center
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Mitsuda Aki
Department of Pathology, Toho University Omori Medical Center
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Honda Yoshiko
Department of Internal Surgery, Toho University Omori Medical Center
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