[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-458830-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-458830-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","peritoneal-mesothelioma-as-an-incidental-finding-during-inguinal-hernia-surgery","Peritoneal mesothelioma as an incidental finding during inguinal hernia surgery","","Malignant peritoneal mesothelioma is a rare malignancy, classically linked to asbestos exposure, and it is frequently diagnosed only at an advanced stage. The case describes a 52-year-old patient in whom marked ascites was discovered during surgery for a recurrent inguinal hernia. Diagnostic laparoscopy confirmed malignant epithelioid peritoneal mesothelioma. Tumor reduction via omentum resection followed by hyperthermic intraperitoneal chemotherapy achieved complete remission.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/peritoneal-mesothelioma-as-an-incidental-finding-during-inguinal-hernia-surgery/458830/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/peritoneal-mesothelioma-as-an-incidental-finding-during-inguinal-hernia-surgery/458830.png","ImageObject",300,407,{"name":42,"@type":43},"Alexandar","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"Why was the peritoneal mesothelioma identified during inguinal hernia surgery?","Question",{"text":62,"@type":63},"Marked ascites was found intraoperatively during surgery for a recurrent inguinal hernia. Subsequent diagnostic workup, including diagnostic laparoscopy, established malignant epithelioid peritoneal mesothelioma.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What diagnostic steps were used after ascites was detected?",{"text":67,"@type":63},"After surgery, diagnostic laparoscopy and additional diagnostics were performed, which confirmed malignant epithelioid peritoneal mesothelioma. Imaging (MRI and CT) also showed findings consistent with peritoneal carcinomatosis and ascites.",{"name":69,"@type":60,"acceptedAnswer":70},"What treatment led to remission in this case?",{"text":71,"@type":63},"Treatment included tumor reduction by omentum resection and hyperthermic intraperitoneal chemotherapy. This combination resulted in complete remission.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},458830,1790754553,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":79,"read_time":110,"preview_page_count":4},962090768658,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Journal of Surgical Case Reports, 2026, 1, rjaf1055  \n[https://doi.org/10.1093/jscr/rjaf1055](https://doi.org/10.1093/jscr/rjaf1055)  \nCase Report  \nCase Report  \nPeritoneal mesothelioma as an incidental finding during inguinal hernia surgery  \nJulian Ramin Andresen 1 , *, Emerson Leonardo Monteiro2 , Marc Olaf Liedke3  \n1 Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria  \n2 Department of General, Visceral, and Transplant Surgery, Medical University of Graz, Auenbruggerplatz 5/5, 8036 Graz, Austria  \n3 Department of Visceral, Thoracic and Vascular Surgery, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Esmarchstraße 50, 25746 Heide, Germany  \n*Corresponding author. Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria. E-mail: [ramin.andresen@meduniwien.ac.at](ramin.andresen@meduniwien.ac.at)  \nAbstract  \nMalignant peritoneal mesothelioma is a rare tumor disease, usually associated with asbestos exposure, which is often only diagnosed at an advanced stage. We report the case of a 52-year-old patient who was found to have marked ascites during surgery for a recurrent inguinal hernia. Subsequent diagnostics, including diagnostic laparoscopy, established the diagnosis of malignant epithelioid peritoneal mesothelioma. After tumor reduction by omentum resection and hyperthermic intraperitoneal chemotherapy, a complete remission was achieved. The case underlines the importance of differentiated clarification of unclear intra-abdominal findings in high-risk patients with possible asbestos exposure.  \nKeywords: asbestos exposure; malignant epithelioid mesothelioma; open inguinal hernia repair; peritoneal mesothelioma; peritoneal carcinomatosis; peritoneum  \nIntroduction  \nPrimary malignant peritoneal mesotheliomas (MPM) are malignant neoplasms of the mesothelium of the peritoneum that can develop after exposure to asbestos. They are about 10 times rarer than pleural mesotheliomas. The incidence rate for MPM in industrialized countries is given as 0 . 5 to 3 per 1000000 cases in men and 0 . 2 to 2 per 1000000 cases in women [1] . The diagnosis is usually made at an advanced stage. In terms of differential diagnosis, MPM must be differentiated from a whole range of other neoplasms. In addition to peritoneal metastases, there are special forms such as well-differentiated papillary mesothelioma and benign multicystic mesothelioma of the peritoneum as well as adenomatoid tumors. Intraperitoneal chemotherapy is often used in combination with hyperthermia (hypothermic intra-peritoneal chemotherapy, HIPEC) and tumor resection or tumor mass reduction (cytoreductive surgery, CRS) . In the case of multiple/diffuse growth of peritoneal mesothelioma, complete resection as in pleural mesothelioma is generally not possible. Mesothelioma of the peritoneum caused by asbestos is recognized as an occupational disease. Asbestos can be detected in lung tissue [2] .  \nWe report on a man who inexplicably developed increasing ascites after an inguinal hernia operation, which then resulted ina histologically confirmed malignant epithelioid mesothelioma of the peritoneum in the further diagnostic clarification.  \nCase report  \nA 52-year-old male patient presented for surgical treatment of arecurrent hernia in the right groin. The preoperative sonography revealed a hernial orifice with a diameter of ∼ 1 cm . In addition, there was clear ascites with a collection of fluid in the spermatic funiculus and a suspected mural tunica vaginalis. A subsequent magnetic resonance imaging (MRI) examination of the pelvis showed a similar picture (Fig. 1) . Due to the suspicious appearance of the tunica vaginalis, the recurrent hernia was not repaired at that time. In the renewed physical examination and history taking, the patient reported not only the familiar painful feeling of ","cbCaicw8S4Znmh9g","https://ap.wps.com/l/cbCaicw8S4Znmh9g","pdf",491002,"English","# Abstract\n# Introduction\n# Case report\n## Presentation and imaging\n## Diagnostic laparoscopy and pathology\n# Figures and publication information","[{\"question\":\"Why was the peritoneal mesothelioma identified during inguinal hernia surgery?\",\"answer\":\"Marked ascites was found intraoperatively during surgery for a recurrent inguinal hernia. Subsequent diagnostic workup, including diagnostic laparoscopy, established malignant epithelioid peritoneal mesothelioma.\"},{\"question\":\"What diagnostic steps were used after ascites was detected?\",\"answer\":\"After surgery, diagnostic laparoscopy and additional diagnostics were performed, which confirmed malignant epithelioid peritoneal mesothelioma. Imaging (MRI and CT) also showed findings consistent with peritoneal carcinomatosis and ascites.\"},{\"question\":\"What treatment led to remission in this case?\",\"answer\":\"Treatment included tumor reduction by omentum resection and hyperthermic intraperitoneal chemotherapy. This combination resulted in complete remission.\"}]","Peritoneal mesothelioma as an incidental finding during inguinal hernia surgery | PDF"]