[Pseudomyxoma peritonei : a cause of ascites that should not be underestimated]

T Sinatra1, C Coimbra Marques2

  • 1Faculté de Médecine, Université de Liège, Belgique.

Revue Medicale De Liege
|August 17, 2018
PubMed

Insights

Pseudomyxoma peritonei (PMP) is a rare condition caused by mucin accumulation in the abdomen, often from appendiceal tumors. This case highlights PMP from appendiceal adenocarcinoma, emphasizing varied prognoses with peritoneal spread.

Area of Science:

  • Oncology
  • Gastroenterology
  • Pathology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare clinical syndrome characterized by peritoneal mucin accumulation.
  • It typically arises from the intraperitoneal rupture of a mucinous epithelial neoplasm, most commonly appendiceal.
  • While limited appendiceal tumors have a favorable prognosis, peritoneal dissemination alters outcomes based on histology and treatment.

Observation:

  • A case report of a 71-year-old female patient presenting with pseudomyxoma peritonei is described.
  • The PMP in this patient originated from an appendiceal adenocarcinoma.
  • This presentation underscores the potential for appendiceal adenocarcinoma to cause extensive peritoneal disease.

Findings:

  • Appendiceal adenocarcinoma can lead to pseudomyxoma peritonei with peritoneal dissemination.
  • The histological subtype and therapeutic approach significantly influence the prognosis of PMP.
  • This case illustrates a specific instance of PMP originating from a malignant appendiceal neoplasm.

Implications:

  • Understanding the origin and behavior of appendiceal neoplasms is crucial for managing PMP.
  • Accurate histological typing and tailored therapeutic strategies are essential for improving patient outcomes in PMP.
  • This case contributes to the literature on rare gastrointestinal malignancies and their peritoneal manifestations.