| Autor: |
Ghidirim G; First Department of Surgery 'N. Anestiadi' and Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University 'N.Testemitsanu', National Center of Emergency Medicine, Kishinev, Moldova., Mishin I, Zastavnitsky G |
| Jazyk: |
angličtina |
| Zdroj: |
Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2011 Jul-Aug; Vol. 106 (4), pp. 527-9. |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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