[Pseudomyxoma of the peritoneum caused by rupture of a mucinous cystoma of the ovary. Description of a case].
A case of pseudomyxoma peritonei originating from spontaneous rupture of an ovaric mucinous cystoma is described: in this pathology we observe the spreading throughout the peritoneal cavity of free or encapsulated gelatinous masses arising from primitive lesion. The examined case presented a spreading of mucinous masses on contralateral ovary and omentum and a total laparo-hysterectomy, bilateral annessiectomy and omentectomy has been carried out. A year after surgery, on the base of a three months follow-up, no clinical or ultrasonic signs of local recurrence has been noticed. The pathogenesis of this pathology is discussed: the flogistic hypothesis considering such a spreading as a "foreign body" peritonitis and the neoplastic one, pointing out a metastatic process of mucus-secretive epithelia implantation as the etiopathogenetic moment of the injury, are actually the most accredited hypothesis by literature.
Vucusa
C
C
Divisione di Ostetricia e Ginecologia, Ospedale S.S. Annunziata, Savigliano, Cune.
Pedrini
E
E
Abrate
M
M
D003537:Cystadenoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy; D011553:Pseudomyxoma Peritonei / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012422:Rupture, Spontaneous / Q000150:complications
Pseudomixoma del peritoneo da rottura di cistoma mucinoso dell'ovaio. Descrizione di un caso.