A Case of Pseudomyxoma Peritonei in a 69 Years Old Woman and Review of Literature

Abstract

Pseudomyxoma peritonei (PMP) is a rare neoplasm characterized by the production of abundant mucin or gelatinous ascites with involvement of the peritoneal surface and omentum. Usually it is associated with benign or malignant mucinous tumor of the appendix or ovary but there are also cases described with other side as colon, rectum, stomach, gallbladder, biliary tract and so on The overall incidence is 1-2 per million per year, it is more common in women than in men (male: female ratio: 9:11). Signs and Symptoms of PMP are very a specific for this reason this disease is often discovered incidentally during other surgical procedure or diagnostic procedure of other pathology. Treatment ranges from debulking to hyperthermic intraperitoneal chemotherapy (HIPEC) with cytoreductive surgery (CRS). In this article we want to describe a case of PMP discovered during a diagnostic laparoscopy in a 69 years old woman with specific symptoms and a diagnosis of peritoneal carcinomatosis at CT SCAN and to review the literature about this rare pathology.