Malign Mesothelioma Presenting with Features of Sigmoid Colon Obstruction and Perforation

Malign mesothelioma of the peritoneum is rare and its diagnosis is difficult. Most patients affected by this tumor have abdominal pain, ascites and abdominal mass. Diagnosis is commonly made by laparoscopy or laparotomy. Special immunohistochemical staining supports the diagnosis. Surgery is the most effective treatment. In this report, we describe a malignant mesothelioma presenting with features of colon tumor perforation. Literature is reviewed, there is no case report with malignant mesothelioma presenting with features of colon tumor perforation.

Sigmoid Kolonda Obstruksiyon ve Perforasyona Neden Olan Malign Mezotelyoma

Malign mezotelyoma peritoneal tutulumu nadir olan tanýsý güç konulan bir hastalýktýr. Çoðunlukla hastalarda karýn aðrýsý, asit, karýn içi kitle ile bulgu verir. Taný daha çok laparoskopi veya laparotomi sýrasýnda konulur. Patolojik incelemede özel immünohistokimyasal boyalar tanýyý destekler. Cerrahi en etkili tedavi yöntemidir. Burada intraabdominal abse kliniði ile ortaya çýkan sigmoid kolonda obstruksiyon ve perforasyona yol açan malign mezotelyoma vakasýný sunduk. Literatür gözden geçirildiðinde kolon perforasyonuna neden olan malign mezotelyoma olgusuna rastlanmadý.