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ACGCRJ
// ACG CASE REPORTS JOURNAL CASEMaking the
Malignant Peritoneal Mesothelioma Presenting as Mucinous Ascites
Zachary Field, BS, Andreas Zori, MD, Vikas Khullar, MD, Manoela Mota, MD, Michael Feely, DO, and Roberto J. Firpi, MD, MS A rare case of a 46-year-old man presenting with mucinous ascites secondary to malignant peritoneal mesothelioma (MPM) that was diagnosed via colonoscopy with biopsies. Both the findings and the clinical presentation were unique. While it is widely known that asbestos exposure is commonly associated with pleural mesothelioma, 6–10% of malignant mesotheliomas arise from the peritoneum. To date, only four cases of MPM with the primary tumor site in the colon have been described in the literature.
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