Pseudomyxoma Peritonei: A Case Report Diagnosed in a 47-Year-Old Woman with Chronic Pelvic Abdominal Pain and Appendicular Origin: Review of the Literature and Management

Pugin, François Louis; Joliniere, J. Bouquet De; Major, A. L.; Khomsi, F.; Guillou, Louis; Peter, M.; Ali, Nordine Ben; Egger, Bernhard; Féki, Anis

doi:10.3389/fsurg.2017.00041

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Biology does not help establish the diagnosis, but the tumour markers (CA 19-9, CEA) detect early recurrences. 12 Diagnosis is made by combining radiological imaging with histopathology. 2,13 There is also the likelihood of genetic mutations; hence, they should be considered for diagnosis and guide treatment.…”

Section: Discussionmentioning

confidence: 99%

Appendicular mass with pseudomyxoma peritonei: a case report

Kang

Arora²,

Harsh³

2022

Int Surg J

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Pseudomyxoma peritonei is an infrequently occurring clinical entity having an annual incidence of less than two per million. It is originated from the rupture of a tumour filled with mucinous substance. The intra-abdominal viscera are usually covered with a jelly-like substance. This syndrome originates most frequently from tumours of the appendix or ovaries. Genetic history is expected to play a role in the appendicular mucocele. The disease advances due to the presence of microbial agents expressed in carcinomas associated with gelatinous ascites. It typically has an insidious onset with a non-exclusive presentation like an increase in abdominal girth and associated abdominal pain with locoregional dissemination initially and dissemination to multiple sites later. The main sign is pelvic ascites. Diagnosis is made by combining radiological imaging with histopathology. Ultrasound aids in identifying the pelvic mass, peritoneal implants, calcifications, effusion, septa, the associated tumours (e.g., ovaries), the involvement of mesentery, and finalizing the surgical strategy. Usually, this condition is adequately treated by combining surgical excision and/or hyperthermic intra-peritoneal chemotherapy (HIPEC), which may be omitted by selecting the patient carefully.

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Section: Discussionmentioning

confidence: 99%

Appendicular mass with pseudomyxoma peritonei: a case report

Kang

Arora²,

Harsh³

2022

Int Surg J

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“…It is considered a rare or “orphan” disease. Its occurrence is estimated to be two cases/one million/year [1].…”

Section: Discussionmentioning

confidence: 99%

Gelatinous Abdomen: A Rare Case of Pseudomyxoma Peritonei Arising from Metastatic Gastric Adenocarcinoma

Wang

Meng

Crespo

et al. 2019

Cureus

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Pseudomyxoma peritonei (PMP) is a rare condition that is typically associated with appendicular adenocarcinoma. Other origins are rarely reported. Here, we report a rare case of abdominal PMP, which originated as gastric adenocarcinoma. The prognosis of the patient consisted of pathological diagnosis, with samples from exploratory laparotomy, radiological visualization, abdominal computed tomography (CT), and abdominal magnetic resonance imaging (MRI). We employed the standard treatment protocol for our patient, which was essentially surgical, applying a cytoreductive technique, in an attempt to remove all visible evidence of the disease, plus intraperitoneal chemotherapy.

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Incidental diagnosis of pseudomyxoma peritonei by laparoscopy: a rare case from Syria

Alsaman

Anbar

Nawlo

et al. 2022

Journal of Surgical Case Reports

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Pseudomyxoma peritonei (PMP) is a rare malignancy of the abdomen, which is usually described as a gelatinous peritoneal fluid. A 33-year-old man came to the ER complaining of recurring abdominal pain with abdominal distention for the past 3 months. Abdominal ultrasound revealed moderate amount of turbulent ascitic fluid with septations, in addition to a mass with irregular margins consisting of liquid and cysts. Abdomen and pelvis computed tomography scan showed free abdominal fluid. A decision was made for abdominal diagnostic laparoscopy with biopsies from the peritoneum, mesenteries and the gelatinous fluid. We could not investigate all the abdominal cavities and appendix due to the presence of severe adhesions and tuberculosis suspension. The pathology report indicated PMP. The patient was referred to an oncologist for chemotherapy consultation. The diagnosis can be challenging, as the symptoms and signs vary from patient to another; most cases may be asymptomatic and discovered incidentally during laparoscopy.

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Pseudomyxoma Peritonei: A Case Report Diagnosed in a 47-Year-Old Woman with Chronic Pelvic Abdominal Pain and Appendicular Origin: Review of the Literature and Management

Cited by 4 publications

References 15 publications

Appendicular mass with pseudomyxoma peritonei: a case report

Appendicular mass with pseudomyxoma peritonei: a case report

Gelatinous Abdomen: A Rare Case of Pseudomyxoma Peritonei Arising from Metastatic Gastric Adenocarcinoma

Incidental diagnosis of pseudomyxoma peritonei by laparoscopy: a rare case from Syria

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