Pseudomyxoma peritonei due to low-grade appendiceal mucinous neoplasm with symptoms of inguinal hernia and uterine prolapse: a case report and ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-05-13

AUTHORS

Hideki Watanabe, Yoshiaki Miyasaka, Kana Watanabe, Ikuko Sakamoto, Hiroshi Nakagomi, Atsushi Takano, Kou Ikegame, Atsushi Yamamoto, Haruka Nakada, Michiya Yasutome, Kazushige Furuya, Masao Hada, Masayuki Inoue, Toshio Oyama

ABSTRACT

Pseudomyxoma peritonei (PMP) is an unusual condition in which massive amounts of mucinous ascites in conjunction with mucinous peritoneal and omental implants occur. We herein report a case of PMP due to low-grade appendiceal neoplasm (LAMN) and a literature review to clarify the clinical features of PMP. A 68-year-old female suffered from anorexia and abdominal distension and was referred to the emergency department of our hospital. Right-side inguinal hernia and uterine prolapse were revealed by a physical examination. Abdominal computed tomography at admission indicated massive ascites and a ruptured cystic mass in the lower-right abdomen. We diagnosed the patient with a ruptured appendiceal mucinous adenoma and PMP and scheduled a laparotomy. We performed an appendectomy containing the cystic mass, bilateral oophorectomy, and a biopsy for the peritoneum. We irrigated the abdominal cavity using 3000 ml of dextran solution. The macroscopic findings showed a ruptured cystic mass measuring 5 × 4 cm arising from the middle of the appendix. The bilateral ovaries and peritoneum were also covered with yellow mucin. The pathologic findings revealed the presence of low-grade atypical cells inside the capsule. However, no tumor cells were found on the surface of the ovary or peritoneum. A literature review revealed that the prognosis of PMP due to LAMN is relatively good, with a 5-year survival rate of 80%, and hernia is occasionally caused by PMP. According to this literature review, we knew this case might be a typical case. However, PMP is very rare; we need further follow-up data to select an optimal treatment for preventing the relapse of PMP. More... »

PAGES

158-163

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13691-017-0297-7

DOI

http://dx.doi.org/10.1007/s13691-017-0297-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085401739

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31149493


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