title: A weeping umbilical hernia: bilateral ovarian mucinous cystadenoma with disseminated peritoneal adenomucinosis.
abstract: A young woman was referred to us for the management of an umbilical hernia with macerated overlying skin through which massive ascites was leaking. On examination we found a jelly-like substance seeping out of the opening. A contrast-enhanced CT scan of the abdomen revealed bilateral ovarian cystadenocarcinoma with pseudomyxoma peritonei. The patient underwent cytoreductive surgery along with hysterectomy and bilateral oophorectomy followed by hyperthermic intraperitoneal chemotherapy with mitomycin C. Histopathological examination showed bilateral borderline cystadenoma with peritoneal adenomucinosis. Follow-up at 1 year showed no signs of recurrence.
authors.affiliation: Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
authors.forename: Varun Kumar
authors.identifier: http://orcid.org/0000-0003-1387-9475
authors.initials: VK
authors.lastname: Singh
authors.affiliation: Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
authors.forename: Kumar
authors.initials: K
authors.lastname: Nishant
authors.affiliation: Department of Radiodiagnosis, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
authors.forename: Barun Kumar
authors.initials: BK
authors.lastname: Sharma
authors.affiliation: Department of Pathology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
authors.forename: Rachna
authors.initials: R
authors.lastname: Lamichaney
mesh_terms: D000328:Adult; D018291:Cystadenoma, Mucinous / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006554:Hernia, Umbilical / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis*; D010534:Peritoneal Neoplasms / Q000150:complications / Q000175:diagnosis*; D011553:Pseudomyxoma Peritonei / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed