ArticleGE Portuguese journal of gastroenterology2025
Peritoneal Mesothelioma in a Patient with Long-Standing Crohn's Disease: Cause or Coincidence?
Article in GE Portuguese journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Peritoneal mesothelioma (PeM) is a rare cancer of the peritoneal lining. Unlike pleural mesothelioma, PeM is less frequently linked to asbestos exposure. Chronic serosal inflammation, as seen in Crohn's disease (CD), has been proposed as a contributing factor in its carcinogenesis. Case Presentation: A male with a long-standing history of ileal CD presented with recurrent episodes of intestinal subocclusion. Imaging showed complex active ileal CD, new-onset ascites, and peritoneal densification. Intraoperatively, a small bowel mass adherent to the sigmoid colon and millimetric nodules of the peritoneum were identified. Histology of the resected segment showed CD-related changes and multiple areas of epithelioid mesothelioma, despite no asbestos exposure. He received cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, with no signs of recurrence after 15 months. Discussion/Conclusion: We present a rare case of non-asbestos-related PeM in a patient with long-standing active CD, highlighting the diagnostic challenges and possible link between chronic serosal inflammation and PeM.
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