Mucocele of the appendix causing tubal factor infertility.
OBJECTIVE
To report on the safety of conservative management of a young woman with pseudomyxoma peritonei of appendiceal origin desiring fertility preservation.


METHODS
Case report.


METHODS
IVF Center at Tertiary Hospital.


METHODS
A 32-year-old woman with primary infertility.


METHODS
Appendectomy, conservative second-look laparoscopy, and IVF.


METHODS
Persistence of active mucinous lesions in the peritoneal cavity, presence of abnormalities at colonoscopy, and maternal/fetal complications from IVF.


RESULTS
Normal second-look laparoscopy, no evidence of persistent disease, and successful intrauterine twin pregnancy following IVF.


CONCLUSIONS
Pseudomyxoma peritonei of appendiceal origin is rare in young female patients. Although traditional therapy in older patients often involves aggressive surgical therapy, this case report demonstrates that patients desiring fertility can be managed conservatively and safely and still maintain successful pregnancy.
Traub
Michael L
ML
Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA. traubml@yahoo.com
Lee
David S
DS
Paty
Philip B
PB
Lieman
Harry
H
D000328:Adult; D001065:Appendix; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D009078:Mucocele / Q000150:complications*; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology; D011553:Pseudomyxoma Peritonei / Q000473:pathology / Q000601:surgery*