Incidental ultrasound diagnosis of pseudomyxoma peritonei in an asymptomatic woman.
An incidental finding of pseudomyxoma peritonei is reported in a woman with a 6-month history of postmenopausal bleeding. A transvaginal ultrasound scan revealed a poorly defined echogenic mass in the right iliac fossa above the right ovary and free fluid of mixed echogenicity in the pouch of Douglas. Laparoscopic appendicectomy and aspiration of mucinous fluid was performed without adjuvant chemotherapy. Regular postoperative follow-up scans, which are needed as the disease may have an indolent course, showed no signs of recurrence. The differential diagnosis and management of pseudomyxoma peritonei are discussed.
Khan
S
S
Early Pregnancy and Gynaecology Assessment Unit and Department of Surgery, King's College Hospital, London, UK.
Patel
A G
AG
Jurkovic
D
D
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D017698:Postmenopause / Q000502:physiology; D011553:Pseudomyxoma Peritonei / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology