Pseudomixoma peritonei associated with appendiceal cistoadenoma rupture: case report

Il Giornale Di Chirurgia
|September 5, 2019
PubMed

Insights

Appendiceal mucocele is a rare finding during appendectomies. A perforated appendiceal cystadenoma can lead to pseudomyxoma peritonei, characterized by widespread mucinous deposits in the abdomen.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Oncology

Background:

  • Appendiceal mucocele is an uncommon finding, present in 0.2-0.3% of appendectomy specimens.
  • These mucinous tumors of the appendix require careful pathological evaluation.

Observation:

  • A case of pseudomyxoma peritonei (PMP) was identified.
  • The PMP was attributed to a perforated appendiceal cystadenoma.

Findings:

  • Perforation of an appendiceal cystadenoma led to the dissemination of mucinous material.
  • This resulted in the characteristic widespread abdominal mucinous deposits of PMP.

Implications:

  • Highlights the importance of recognizing appendiceal mucocele and its potential complications.
  • Emphasizes the need for prompt diagnosis and management of perforated appendiceal neoplasms to prevent PMP.

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