Incidental diagnosis of pseudomyxoma peritonei by laparoscopy: a rare case from Syria
Muhamad Zakaria Brimo Alsaman1, Ahmad Anbar2, Ahmad Nawlo3
1Vascular Surgery Department, Al Razi Hospital, Aleppo, Syria.
Abstract:
Pseudomyxoma peritonei (PMP) is a rare malignancy of the abdomen, which is usually described as a gelatinous peritoneal fluid. A 33-year-old man came to the ER complaining of recurring abdominal pain with abdominal distention for the past 3 months. Abdominal ultrasound revealed moderate amount of turbulent ascitic fluid with septations, in addition to a mass with irregular margins consisting of liquid and cysts. Abdomen and pelvis computed tomography scan showed free abdominal fluid. A decision was made for abdominal diagnostic laparoscopy with biopsies from the peritoneum, mesenteries and the gelatinous fluid. We could not investigate all the abdominal cavities and appendix due to the presence of severe adhesions and tuberculosis suspension. The pathology report indicated PMP. The patient was referred to an oncologist for chemotherapy consultation. The diagnosis can be challenging, as the symptoms and signs vary from patient to another; most cases may be asymptomatic and discovered incidentally during laparoscopy.
Insights
Pseudomyxoma peritonei (PMP) is a rare abdominal malignancy. This case highlights diagnostic challenges in a young man presenting with abdominal pain and distention, ultimately confirmed by laparoscopy and biopsy.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- Pseudomyxoma peritonei (PMP) is a rare abdominal malignancy characterized by gelatinous ascites.
- PMP often presents with non-specific symptoms like abdominal pain and distention, leading to diagnostic delays.
- Incidental discovery during laparoscopy is common, as many cases are asymptomatic.
