{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:40:04Z","timestamp":1756471204309,"version":"3.44.0"},"reference-count":5,"publisher":"SMC Media","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Prostate cancer is the most frequent malignancy seen in males, with about 15% of cases showing metastatic disease at diagnosis, most commonly in bones (vertebrae, ribs, long bones). However, peritoneal metastasis with malignant ascites is extremely rare and may be overlooked by physicians. We report the case of a 77-year-old man presenting with symptoms of abdominal distension, nausea and weight loss. Abdominal ultrasound and computerised tomography confirmed ascites, peritoneal carcinomatosis and an enlarged prostate. Serum and ascitic prostatic-specific antigen were both elevated. Prostate biopsy identified a prostate adenocarcinoma, while biopsy of a peritoneal implant identified a prostate cancer metastasis, which responded well to hormonal therapy.<\/jats:p>","DOI":"10.12890\/2020_001474","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T09:52:37Z","timestamp":1621936357000},"source":"Crossref","is-referenced-by-count":0,"title":["An Improbable Case of Ascites"],"prefix":"10.12890","volume":"7","author":[{"given":"Virginia","family":"Visconti","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Beatriz \u00c2ngelo Hospital, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Beatriz \u00c2ngelo Hospital, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismenia","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Beatriz \u00c2ngelo Hospital, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"10.12890\/2020_001474_ref1","doi-asserted-by":"crossref","unstructured":"<li>Ani I, Costaldi M, Abouassaly R. Metastatic prostate cancer with malignant ascites: a case report and literature review. <em>Can Urol Assoc J<\/em> 2013;<strong>7<\/strong>(3\u20134):e248\u2013e250.<\/li>","DOI":"10.5489\/cuaj.547"},{"key":"10.12890\/2020_001474_ref2","unstructured":"<li>Saif MW. Malignant ascites associated with carcinoma of the prostate. <em>J Appl Res<\/em> 2005;<strong>5<\/strong>(2):305\u2013311.<\/li>"},{"key":"10.12890\/2020_001474_ref3","doi-asserted-by":"crossref","unstructured":"<li>Saif MW, Figg WD, Hewitt S, Brosky K, Reed E, Dahut W. Malignant ascites as only manifestation of metastatic prostate cancer. <em>Prostate Cancer Prostatic Dis<\/em> 1999;<strong>2<\/strong>;290\u2013293.<\/li>","DOI":"10.1038\/sj.pcan.4500385"},{"key":"10.12890\/2020_001474_ref4","doi-asserted-by":"crossref","unstructured":"<li>Petrakis D, Pentheroudakis G, Kamina S, Pappa L, Papadiotis E, Malamou-Mitsi V, et al. An unusual presentation of a patient with advanced prostate cancer, massive ascites and peritoneal metastasis: case report and literature review. <em>J Adv Res<\/em> 2015;<strong>6<\/strong>(3)517\u2013521.<\/li>","DOI":"10.1016\/j.jare.2014.05.002"},{"key":"10.12890\/2020_001474_ref5","doi-asserted-by":"crossref","unstructured":"<li>Saini R, Dodagoudar C, Talwar V, Singh S. Malignant ascites with omental metastasis: a rare event in prostate cancer. <em>J Cancer Metastasis Treat<\/em> 2015;<strong>1<\/strong>:34\u201335.<\/li>","DOI":"10.4103\/2394-4722.152767"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1474\/2496","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1474\/2497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1474\/2497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:15:49Z","timestamp":1756469749000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/1474"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,22]]},"references-count":5,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_001474","relation":{"has-manifestation":[{"id-type":"other","id":"1-65-1474-g2496","asserted-by":"subject"},{"id-type":"other","id":"1-65-1474-g2497","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-65","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2020,12,22]]},"article-number":"24"}}