Ruptured Cystic Mesothelioma Diagnosed After Blunt Trauma; Case Report and Literature Review

The majority of blunt trauma is secondary to motor vehicle crashes,especially in those wearing seat belts or sitting in the front or passenger seat location. hollow viscus gastrointestinal injuries occur more frequently in small bowel, followed by colorectal, duodenum, stomach and appendix. a 25-year-old male presents after being involved in a motor vehicle accident. initial workup was significant for moderate amount of pelvic free fluid and curvilinear,cysticlike structures in the pelvis. he subsequently developed peritonitis and under went diagnostic laparoscopy, which revealed multiple cystic nodules arising from the peritoneum. pathology demonstrated benign cystic mesothelioma (bcm). bcm is a very rare condition of mesotheliallined, variably sized, fluidfilled cysts that arises from the serous, pericardial or peritoneal lining. due to the scarcity of cases, its management and prognosis are not fully established. this singular case highlights the necessity for a clinician to have a wide differential forunusual causes of free pelvic fluid after blunt abdominal trauma