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A rare case of pseudomyxoma peritonei with Morgagni hernia

Toru Imagami1, Yasumitsu Oe1, Byonggu An1

  • 1Department of Digestive Surgery and Peritoneal Dissemination Center, Omi Medical Center, 1660, Yabase, Kusatsu, Shiga 525-8585 Japan.

International Cancer Conference Journal
|August 14, 2023
PubMed

Insights

This study reports the first case of pseudomyxoma peritonei with Morgagni hernia in an adult. Cytoreductive surgery with primary repair proved safe and effective for this rare combined condition.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Pseudomyxoma peritonei and Morgagni hernias are rare adult conditions.
  • Pseudomyxoma peritonei can increase intra-abdominal pressure, potentially causing acquired diaphragmatic hernias.
  • The combination of pseudomyxoma peritonei and Morgagni hernia is unprecedented.

Purpose of the Study:

  • To describe the first reported case of pseudomyxoma peritonei with Morgagni hernia in an adult.
  • To evaluate the safety and efficacy of cytoreductive surgery and primary repair for this combined pathology.

Main Methods:

  • A 70-year-old female patient diagnosed with pseudomyxoma peritonei and Morgagni hernia underwent surgical intervention.
  • The procedure included cytoreductive surgery and primary repair of the hernial defect.
  • Parietal peritonectomy of the right diaphragmatic peritoneum was performed to address the hernia sac.

Main Results:

  • The combined cytoreductive surgery and primary repair were performed safely and successfully.
  • The surgical approach achieved positive short-term outcomes for the patient.
  • Parietal peritonectomy effectively removed the hernia sac without complications.

Conclusions:

  • This case demonstrates the feasibility of combined cytoreductive surgery and primary repair for pseudomyxoma peritonei with Morgagni hernia.
  • The surgical strategy offers a safe and effective treatment option for this rare dual diagnosis.
  • Further research may explore long-term outcomes of this combined surgical approach.
Keywords:
Cytoreductive surgeryMorgagni herniaPeritonectomyPseudomyxoma peritonei

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