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Published on: March 5, 2018

Pseudomyxoma peritonei presenting as sub-acute large bowel obstruction

A Y Kshirsagar1, S H Kulkarni, J V Wader

  • 1Department of Surgery, Krishna Hospital Medical Research Centre, Karad 415 110.

Journal of the Indian Medical Association
|May 5, 2005
PubMed

Insights

Pseudomyxoma peritonei is a rare mucin-secreting tumor. This case report details a 30-year-old male with this condition presenting as bowel obstruction.

Area of Science:

  • Gastroenterology
  • Oncology
  • Surgical Pathology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare clinical entity characterized by the mucinous ascites and gelatinous implants on peritoneal surfaces.
  • It is typically associated with mucinous tumors of the appendix, but can also arise from other gastrointestinal or ovarian sources.
  • PMP presents a diagnostic and therapeutic challenge due to its rarity and propensity for recurrence.

Observation:

  • A 30-year-old male presented with symptoms suggestive of sub-acute large bowel obstruction.
  • Diagnostic workup revealed extensive mucinous deposits within the peritoneal cavity.
  • The patient underwent surgical intervention for the obstruction and tumor debulking.

Findings:

  • Histopathological examination confirmed pseudomyxoma peritonei, originating from a mucinous neoplasm.
  • The tumor's extensive peritoneal spread led to the observed bowel obstruction.
  • Literature review indicates varied presentations and management strategies for PMP.

Implications:

  • This case highlights the importance of considering rare diagnoses like PMP in patients with bowel obstruction.
  • Early recognition and appropriate surgical management are crucial for improving patient outcomes.
  • Further research into the pathogenesis and optimal treatment of PMP is warranted.

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