Recurrent Incisional Hernia due to Pseudomyxoma Peritonei

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Zafer Ergul1, Engin Olcucuoglu, Hakan Kulacoglu

  • 1Department of Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital, Irfan Bastug Caddesi, 06110 Ankara, Turkey.

Case Reports in Medicine
|June 2, 2011
PubMed

Insights

Pseudomyxoma peritonei can rarely present as a recurrent incisional hernia. This case highlights the challenges of managing this rare neoplastic disease, even after surgical repair.

Area of Science:

  • Oncology
  • Surgical Pathology

Background:

  • Pseudomyxoma peritonei is a rare neoplastic condition characterized by intraperitoneal mucinous fluid accumulation.
  • It can infrequently manifest as an abdominal wall mass, mimicking hernias.

Observation:

  • A 60-year-old female with a history of mucinous ovarian cyst presented with recurrent incisional hernias.
  • Previous surgeries included hysterectomy, bilateral salpingo-oophorectomy, and multiple hernia repairs with polypropylene mesh.

Findings:

  • The patient had extensive adhesions and disseminated pseudomyxoma peritonei, complicating hernia repair.
  • Despite prosthetic mesh repair, the disease progressed, leading to death 18 months postoperatively.

Implications:

  • This case underscores the diagnostic and therapeutic challenges of pseudomyxoma peritonei presenting as incisional hernias.
  • Effective management requires a thorough understanding of the disease's behavior and potential for recurrence.

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