Open AccessA Rare Cause of Ascites in a Young Woman Mimicking Peritoneal Carcinomatosis
Author(s) -
Reza Fatemi,
Pardis Ketabi Moghadam,
Forough Mangeli
Publication year - 2021
Publication title -
middle east journal of digestive diseases./middle east journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.146
H-Index - 2
eISSN - 2008-5249
pISSN - 2008-5230
DOI - 10.34172/mejdd.2021.234
Subject(s) - peritoneum , ascites , medicine , peritoneal carcinomatosis , foreign body , pathognomonic , pathology , peritoneal cavity , ovarian carcinoma , carcinosis , ascitic fluid , radiology , ovarian cancer , surgery , cancer , disease , colorectal cancer
Peritoneal granulomatous reaction to foreign body-like materials of a dermoid cyst is a rare condition and has always been challenging in diagnosis for physicians. Macroscopic view of granulomatous peritoneum, which mimics peritoneal carcinomatosis or peritoneal seeding originating from ovarian carcinoma, necessitates a detailed microscopic evaluation of peritoneum, which shows multinucleated giant cells and granuloma formation indicating a foreign body reaction in the peritoneum. To avoid unnecessary radical surgeries and salvage chemotherapies in these patients, a detailed microscopic evaluation of their peritoneum is necessary. The present study introduces a 23-year-old woman with new-onset ascites and an elevation of CA125 level suspicious of ovarian carcinoma but with a peritoneal microscopic finding pathognomonic of foreign body reaction.