title: Chronic colonic perforation in pseudomyxoma peritonei.
abstract: Pseudomyxoma peritonei (PP) produces abundant mucoid material from the rupture of low grade ovarian or appendiceal mucinous tumours. The unique pattern of cancer dissemination and intraperitoneal mucous re-distribution makes it a distinct clinical condition. It has diverse presentations, mainly as a result of narrowing of the gastrointestinal tract and entrapment of other viscera by gelatinous mucoid material. Imaging is helpful, but not diagnostic of this condition. We report a patient with pseudomyxoma perotonei who had perforation at the recto-sigmoid junction into a large mucinous cyst adjacent to the sigmoid colon. The patient improved clinically with conservative management, with persisting communication and no adverse symptoms reported at 4 months follow-up.
authors.affiliation: Department of Radiology, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK. srinaidu@hotmail.com
authors.forename: L S
authors.initials: LS
authors.lastname: Naidu
authors.forename: J C
authors.initials: JC
authors.lastname: Jobling
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003560:Cysts / Q000000981:diagnostic imaging; D004733:Enema / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging*; D011553:Pseudomyxoma Peritonei / Q000150:complications / Q000000981:diagnostic imaging*; D012002:Rectal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D012810:Sigmoid Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods