Abstract
Peritoneal mesothelioma is a rare intra-abdominal malignancy. Its aetiology has been thought to be due to either inhalation or ingestion of asbestos particles. We present a case of peritoneal mesothelioma developing as a result of a novel third route and the inoculation of fibres into the peritoneal cavity by penetrating trauma and direct transport. This case report highlights the important long term consequences of penetrating abdominal trauma and the need for vigilance in undertaking peritoneal toilet.
Highlights
Malignant mesothelioma of the peritoneum is a rare malignancy, but one that is increasing in incidence
As treatment is associated with high morbidity and ultimate failure, a large amount of work is done to reduce exposure to asbestos and other nonasbestos mineral fibres such as Erionite which are implicated in the development of the disease
The inhalation of fibres precedes the peritoneal inoculation and it can be hoped that environmental health procedures on the handling of asbestos will start to have an effect on the incidence of peritoneal mesothelioma in the majority of cases [3]
Summary
Malignant mesothelioma of the peritoneum is a rare malignancy, but one that is increasing in incidence. As treatment is associated with high morbidity and ultimate failure, a large amount of work is done to reduce exposure to asbestos and other nonasbestos mineral fibres such as Erionite which are implicated in the development of the disease. The inhalation of fibres precedes the peritoneal inoculation and it can be hoped that environmental health procedures on the handling of asbestos will start to have an effect on the incidence of peritoneal mesothelioma in the majority of cases [3]. This case would not be effected by such measures due to the novel aetiology of inoculation of the fibres as described
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