Pseudomixoma Peritonei a Rare Entity Difficult to Diagnose and Treat - Case Report
C.I. Mavrodin, G. Pariza, V. Iordache, P. Iorga, M. SajinClinical case, no. 6, 2014
The authors present the case of a 56 year-old patient diagnosedwith pseudomyxoma peritonei, 4 years after being subjected toa left adnexectomy for ovarian cystadenoma. The intra-parietalinsemination of the mucinous cells enabled the development,at this level, of a gelatinous mass that raised problems ofdifferential diagnosis with irreducible incisional hernia. In whatregards the preoperative signs of clinical and paraclinicaldiagnosis we consider them obscure and nonspecific. Theabdominal computed tomography revealed the presence of amassive intraperitoneal collection, but given the rarity of thispathology the initial diagnosis was made in the course of theexploratory laparotomy. Intraoperatively it became necessary toperform the omentectomy and total hysterectomy withcontralateral adnexectomy and appendectomy. The histopathologicalexamination confirmed the diagnosis. Using cisplatinassociated with aggressive surgical cytoreduction this case ofpseudomixoma had a good long-term evolution. The diagnosiswas a challenge, and the nonspecific slow evolution of thedisease led to difficult differential diagnostic.
