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Case report


Malignant pleural and peritoneal mesothelioma consequential to brief indirect asbestos exposure.

Bharati SinghalSupreethi KohliAnu SinghalVinod Kumar
Department of Radiology, ESI Model Hospital and Post-Graduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India
Date of Submission: 07-Apr-2014, Date of Acceptance: 23-May-2014, Date of Web Publication: 30-Jun-2014.
Corresponding Author:
Corresponding Author

Supreethi Kohli

Tower 5, Flat No. 1403, Sushant Estate, Sector 52, Gurgaon - 122 002, Haryana, India.
E-mail: supreethikohli@gmail.com

Corresponding Author:
Corresponding Author

Supreethi Kohli

Tower 5, Flat No. 1403, Sushant Estate, Sector 52, Gurgaon - 122 002, Haryana, India.
E-mail: supreethikohli@gmail.com

DOI: 10.4103/2156-7514.135662 Facebook Twitter Google Linkedin

ABSTRACT


This report highlights that pleural and peritoneal mesothelioma can occur without direct asbestos exposure as was seen in our young patient. The patient had indirect exposure for as short as 3 months as a child, 15 years earlier, when she was residing with her miner father in the district of Jharia, Jharkhand, which is an asbestos-rich mining area in eastern India. The patient presented with chest pain and breathlessness. Chest X-ray showed opaque right hemithorax. Typical contrast- computed tomography (CECT) enhanced radiological features included nodular, soft-tissue attenuation and homogenously enhancing rind-like mass causing scalloping of the underlying lung and liver. Similar lesions were also found involving the pelvis. Diagnosis of malignant mesothelioma was confirmed on lung biopsy. Under-reporting of exposure is usual because it is unrecognized by both patients and investigators.
Keywords: Asbestos, Contrast-enhanced Computed Tomography, Mesothelioma, Pleural

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