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Ascitic fluid smear of a 58-yearold man, presented with mild abdominal distension detected on routine checkup. On examination, presence of free fluid in abdomen and nodule in the umbilical area seen. Computed tomography (CT)scan of abdomen and pelvis showed 5.6 x 4.2 x 5.4 cmlobulatedheterogeneous massin recto vesical pouch adherent to underlying anterior wall of adjacent rectum with multiple peritoneal depositsand 2.6 x 2.2 cmlobulated enhancing lesion at umbilical region and moderate ascites.
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Metastatic adenocarcioma
Reactive mesothelial cells.
Atypical mesothelial proliferation, suspect mesothelioma
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