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Pseudomyxoma peritonei associated with secondary infertility
H A Hales1, C M Peterson, C J Jolles
1Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City 84132.
Fertility and Sterility
|August 1, 1992
Summary
Pseudomyxoma peritonei from a ruptured appendiceal mucocele caused secondary infertility. Surgical removal of the tumor and ascites led to spontaneous conception, resolving infertility.
Area of Science:
- Reproductive Medicine
- Surgical Oncology
- Gastroenterology
Background:
- Secondary infertility presents a complex clinical challenge.
- Appendiceal mucinous neoplasms are rare but can have significant intra-abdominal consequences.
Observation:
- A case of pseudomyxoma peritonei secondary to a ruptured appendiceal mucocele was identified.
- The patient presented with secondary infertility.
- Visible mucinous ascites were present within the peritoneal cavity.
Findings:
- Surgical resection of the pseudomyxoma peritonei and ascites was performed.
- The patient experienced spontaneous conception following the surgical intervention.
- This suggests a direct link between the condition and infertility.
Implications:
- This case highlights pseudomyxoma peritonei as a potential, reversible cause of secondary infertility.
- Peritoneal inflammation and ascites may directly impede sperm-oocyte interaction.
- Surgical management can restore fertility in affected individuals.