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Published on: December 21, 2012

Pseudomyxoma peritonei presenting with inguinal hernia

Gh Ghidirim1, I Mishin, Gh Zastavnitsky

  • 1First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University "N.Testemitsanu", National Center of Emergency Medicine, Kishinev, Moldova.

Chirurgia (Bucharest, Romania : 1990)
|October 14, 2011
PubMed

Insights

Pseudomyxoma peritonei (PMP) is a rare condition of mucinous ascites accumulation. Early suspicion and diagnostic confirmation are crucial for managing this challenging disease.

Area of Science:

  • Gastroenterology
  • Oncology
  • Surgical Pathology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare malignancy characterized by mucinous ascites.
  • It often originates from a perforated appendiceal adenoma, presenting diagnostic challenges.
  • Clinical signs are variable, complicating early detection.

Observation:

  • A 67-year-old patient presented with signs consistent with PMP post-inguinal hernia repair.
  • Gelatinous fluid in a hernia sac prompted further investigation.
  • Abdominal computed tomography (CT) and histological examination were key diagnostic tools.

Findings:

  • The patient underwent cytoreduction, peritonectomy, appendectomy, and omentectomy with intraperitoneal chemotherapy.
  • Post-operative disease-free survival was observed for 15 months.
  • The patient's eventual death was attributed to a cardiac event.

Implications:

  • Suspicion of PMP is warranted for any gelatinous fluid found within a hernia sac.
  • Mandatory histological investigation and CT scans are essential for accurate PMP diagnosis.
  • Prompt surgical intervention and chemotherapy can improve patient outcomes in PMP cases.

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