Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2022; 10(10): 3156-3163
Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3156
Primary malignant peritoneal mesothelioma mimicking tuberculous peritonitis: A case report
Li-Cheng Lin, Wen-Yen Kuan, Bei-Hao Shiu, Yu-Ting Wang, Wan-Ru Chao, Chi-Chih Wang
Li-Cheng Lin, Wen-Yen Kuan, Department of Education, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Bei-Hao Shiu, Department of Surgery, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Yu-Ting Wang, Wan-Ru Chao, Department of Pathology, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Chi-Chih Wang, Division of Endoscopy, Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Chi-Chih Wang, School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
Author contributions: Lin LC and Kuan WY reviewed the literature and contributed to manuscript drafting; Wang CC was responsible for the revision and final approval of the manuscript; Shiu BH performed the laparoscopy; Wang YT and Chao WR contributed to histopathological testing, interpreted the histopathological and immunohistochemical findings; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chi-Chih Wang, PhD, Assistant Professor, Director, Division of Endoscopy, Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sec.1, Jianguo Rd., Taichung 402, Taiwan. bananaudwang@gmail.com
Received: July 13, 2021
Peer-review started: July 13, 2021
First decision: October 3, 2021
Revised: October 8, 2022
Accepted: February 22, 2022
Article in press: February 22, 2022
Published online: April 6, 2022
Core Tip

Core Tip: Malignant peritoneal mesothelioma (MPM) is an uncommon malignant neoplasm that arises from peritoneum. We present a case of malignant peritoneal mesothelioma mimicking tuberculous peritonitis (TBP). This case highlights the difficulty to distinguish MPM from TBP only based on unspecific clinical manifestations, laboratory tests and images especially in high prevalence area of TB, and therefore sheds light on the importance of laparoscopy which finally helps us confirm the diagnosis in this patient with unexplained ascites.