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Adenocarcinoma mucoso con carcinomatosis peritoneal que se presenta como abdomen agudo: un informe de caso
Resul Nusretoğlu1,2, Abdullahi Khalif Ali1
1General Surgery Department, Mogadishu Somali-Türkiye Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
Frontiers in oncology
|February 20, 2026
Resumen
El cistadenocarcinoma mucoso ovárico, un raro cáncer de ovario, puede presentarse como un abdomen agudo. Este caso pone de relieve la importancia del diagnóstico rápido y la intervención quirúrgica para la enfermedad avanzada.
Área de la Ciencia:
- Oncología Ginecológica Oncología Ginecológica.
- Patología Quirúrgica Patología Quirúrgica.
Sus antecedentes:
- El cistadenocarcinoma mucoso ovárico es una malignidad rara, que comprende el 10-15% de los cánceres de ovario.
- Típicamente se presenta con síntomas vagos, a menudo diagnosticados en etapas avanzadas.
- La presentación abdominal aguda es poco frecuente, por lo general indica complicaciones como ruptura o diseminación peritoneal.
Objetivo del estudio:
- Para presentar un caso de cistadenocarcinoma mucoso ovárico que se presenta como un abdomen agudo.
- Para enfatizar los desafíos de diagnóstico y gestión asociados con esta rara presentación.
Principales métodos:
- Informe de caso de una mujer de 70 años con síntomas abdominales agudos.
- El trabajo de diagnóstico incluyó pruebas de laboratorio e imágenes (tomografía computarizada).
- El manejo quirúrgico incluyó laparotomía exploratoria, cirugía de desbloqueo y confirmación histopatológica.
Principales resultados:
- Se identificó una gran masa ovárica multilocada (20x12 cm) con ascitis masiva y engrosamiento omental.
- La carcinomatosis peritoneal difusa fue confirmada intraoperatoria.
- La histopatología confirmó el adenocarcinoma mucino; el paciente se recuperó sin incidentes.
Conclusiones:
- El adenocarcinoma mucoso ovárico rara vez puede manifestarse como un abdomen agudo debido a la carcinomatosis peritoneal.
- El reconocimiento temprano, el diagnóstico diferencial y la atención multidisciplinaria son cruciales para obtener resultados favorables.
Palabras clave:
Abdomen agudo agudo en el abdomen.Sístese y carcinoma de la mucosa.Cáncer de ovario cáncer de ovario.La carcinomatosis peritoneal también se llama carcinomatosis peritoneal.La salpingo-ooforectomía es una operación de salpingo-ooforectomía.Más Videos Relacionados
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