Related Experiment Video
Updated: May 5, 2026
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
Intraductal papillary mucinous neoplasm with pseudomyxoma peritonei: a case report
Karim J Koussa1,2, Georges E Nassif1, Kendyll J Gartrelle1
1Henry Ford Pancreatic Cancer Center, Detroit, Michigan, USA.
Introduction:
Pseudomyxoma peritonei (PMP) secondary to pancreatic intraductal papillary mucinous neoplasms (IPMNs) is extremely rare, making diagnosis and treatment of this condition challenging.
Case Presentation:
We present a case of a 67-year-old gentleman diagnosed with a malignant degeneration of IPMN, treated with neoadjuvant systemic therapy, followed by total pancreatectomy. Twelve months after his surgery, he was found to have two capsular hepatic lesions on surveillance imaging. Biopsy confirmed pseudomyxoma peritonei, and the patient subsequently underwent cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).
Discussion:
This unique case highlights the importance of post-operative surveillance for surgically resected IPMNs and understanding the role for CRS and HIPEC as an option for treating PMP secondary to IPMNs.
Conclusion:
Although PMP secondary to IPMN is extremely uncommon, it can occur months to years after initial surgery, and for patients in whom complete cytoreduction is achievable, CRS and HIPEC may represent a viable treatment option.
Insights
Pseudomyxoma peritonei (PMP) from pancreatic intraductal papillary mucinous neoplasms (IPMNs) is rare. This case shows PMP can occur post-surgery, with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) as a viable treatment.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Pseudomyxoma peritonei (PMP) secondary to pancreatic intraductal papillary mucinous neoplasms (IPMNs) is exceptionally rare.
- Diagnosis and management of PMP from IPMNs present significant challenges.
More Related Videos
09:19Culture and Imaging of Ex Vivo Organotypic Pseudomyxoma Peritonei Tumor Slices from Resected Human Tumor Specimens
Published on: December 9, 2022
03:34Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
