title: Pseudomyxoma peritonei presenting with inguinal hernia.
abstract: Pseudomyxoma peritonei (PMP) is rare being characterized by intraperitoneal accumulation of mucinous ascites produced by neoplastic cells, mostly originating from a perforated appendiceal adenoma. The clinical signs of the disease are variable, and preoperative diagnosis is often difficult. We describe the clinical case of a 67-year-old patient referred to our unit one month after a left inguinal hernia repair, presenting clinical signs compliant with PMP. Surgical cytoreduction, peritonectomy, appendectomy, and greater omentectomy with perioperative intraperitoneal chemotherapy were performed. The patient was disease free for a 15 month period when he died apparently due to a cardiac event. We advocate that in all cases of gelatinous fluid in a hernia sac PMP must be suspected, thus histological investigation is mandatory as well as abdominal computed tomography (CT) in order to confirm the diagnosis.
authors: First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University "N.Testemitsanu", National Center of Emergency Medicine, Kishinev, Moldova.
authors: Gh
authors: G
authors: Ghidirim
authors: I
authors: I
authors: Mishin
authors: Gh
authors: G
authors: Zastavnitsky
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000175:diagnosis / Q000601:surgery; D018291:Cystadenoma, Mucinous / Q000175:diagnosis / Q000601:surgery; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000150:complications; D006552:Hernia, Inguinal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007274:Injections, Intraperitoneal; D008297:Male; D019990:Perioperative Care; D010534:Peritoneal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011553:Pseudomyxoma Peritonei / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome