Pseudomyxoma peritonei: a case of mucinous adenocarcinoma of the appendix presenting as inguinal hernia. 2006

M A Rezkalla, and K G Peterson, and J J Ryan
Loma Linda VA Medical Center, USA.

Pseudomyxoma peritonei is a rare neoplastic condition characterized by diffuse collections of gelatinous fluid associated with mucinous implants on the peritoneal surfaces and omentum. Typical presentations include suspected acute appendicitis, increasing abdominal girth, new onset hernia and in women, an ovarian mass. The exact pathological origin, classification, and ideal treatment have been the subject of debate in the literature. Although optimum treatment is debatable, most expert opinion favors extensive surgical debulking with or without adjuvant therapy. We present a case of a 51-year-old man who presented with an inguinal hernia that was, in fact, secondary to pseudomyxoma peritonei. It is best practice, we believe, that any mucoid fluid encountered during hernia repair should be recovered and, along with the hernial sac, be assessed histologically.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010534 Peritoneal Neoplasms Tumors or cancer of the PERITONEUM. Peritoneal Carcinomatosis,Peritoneal Surface Malignancy,Carcinomatosis, Peritoneal,Malignancy, Peritoneal Surface,Neoplasm, Peritoneal,Peritoneal Carcinomatoses,Peritoneal Neoplasm,Peritoneal Surface Malignancies,Surface Malignancy, Peritoneal
D011553 Pseudomyxoma Peritonei A peritoneal adenocarcinoma characterized by build-up of MUCUS in the PERITONEAL CAVITY. Mucus secreting cells may attach to the peritoneal lining and continue to secrete mucus. The majority of cases represent tumor spread from a primary low-grade mucinous neoplasm of the APPENDIX (NCI Thesaurus). Ascites, Gelatinous,Gelatinous Ascites,Syndrome of Pseudomyxoma Peritonei,Pseudomyxoma Peritonei Syndrome,Pseudomyxoma Peritonei Syndromes
D002288 Adenocarcinoma, Mucinous An adenocarcinoma producing mucin in significant amounts. (From Dorland, 27th ed) Carcinoma, Colloid,Carcinoma, Mucinous,Adenocarcinomas, Mucinous,Carcinomas, Colloid,Carcinomas, Mucinous,Colloid Carcinoma,Colloid Carcinomas,Mucinous Adenocarcinoma,Mucinous Adenocarcinomas,Mucinous Carcinoma,Mucinous Carcinomas
D006552 Hernia, Inguinal An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults. Inguinal Hernia,Inguinal Hernia, Direct,Inguinal Hernia, Indirect,Direct Inguinal Hernia,Direct Inguinal Hernias,Hernia, Direct Inguinal,Hernia, Indirect Inguinal,Hernias, Direct Inguinal,Hernias, Indirect Inguinal,Hernias, Inguinal,Indirect Inguinal Hernia,Indirect Inguinal Hernias,Inguinal Hernias,Inguinal Hernias, Direct,Inguinal Hernias, Indirect
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001063 Appendiceal Neoplasms Tumors or cancer of the APPENDIX. Appendiceal Cancer,Cancer of Appendix,Appendix Cancer,Cancer of the Appendix,Cancer, Appendiceal,Neoplasms, Appendiceal,Appendiceal Neoplasm,Cancer, Appendix,Neoplasm, Appendiceal

Related Publications

M A Rezkalla, and K G Peterson, and J J Ryan
September 2009, The Ulster medical journal,
M A Rezkalla, and K G Peterson, and J J Ryan
February 1956, Annals of surgery,
M A Rezkalla, and K G Peterson, and J J Ryan
January 2011, Chirurgia (Bucharest, Romania : 1990),
M A Rezkalla, and K G Peterson, and J J Ryan
January 2013, JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR),
M A Rezkalla, and K G Peterson, and J J Ryan
October 2006, International journal of clinical oncology,
M A Rezkalla, and K G Peterson, and J J Ryan
January 1992, The Journal of reproductive medicine,
M A Rezkalla, and K G Peterson, and J J Ryan
July 1992, The Journal of dermatology,
M A Rezkalla, and K G Peterson, and J J Ryan
February 2018, Mayo Clinic proceedings,
M A Rezkalla, and K G Peterson, and J J Ryan
September 2017, Medicine,
Copied contents to your clipboard!