“…Less frequently patients present with dysphagia, fever of unknown origin, abdominal mass or bowel obstruction. 3,4,10,14,19,32,53,54 The outstanding sign in the present case was massive ascites, and the majority of studies suggest that ascites is present in 70–90% of cases. 5,11–13,18,33 It is interesting to note, however, that some earlier reports suggested that ascites was infrequent and that the lack of clinical ascites in MPM may be used to differentiate between it and peritoneal carcinomatosis.…”