CHSJ

Curr Health Sci J, vol. 35, no. 3, 2009

Pseudomyxoma Peritonei

[Original paper]

M. HOMEAG(1), V. ENACHESCU(1), L.E. PAVEL(1), B. ZAHARIA(2), N. MANESCU(3)


(1)Department of Internal Medicine, University of Medicine and Pharmacy, Craiova;
(2)Department of Pathology, Emergency University Hospital, Craiova;
(3)Department of General Surgery, University of Medicine and Pharmacy, Craiova


Abstract:

The authors report a case of a 60 years old Romanian male with peritoneal pseudomyxoma that was discovered to have a primary location in the greater omentum. Pseudomyxoma peritonei arising into the greater omentum is very rare. It is an original case report and the new data represents a well-balanced summary of a timely subject, with reference to the literature. This it is a significantly advance in our understanding of a particular disease etiology. Until now, only a few primary greater omentum pseudomyxoma peritonei have been described. Clinical and pathologic findings of this case are presented and the topic of primary location in the great omentum of pseudomyxoma peritonei was reviewed. Preoperative ultrasound examination showed the presence of an “eyes of net” tumoral-mass formation, in the greater omentum, and a fluid collection was found in the abdomen (Morrison space and the pouch of Douglas). Notwithstanding, diagnosis of pseudomyxoma was preoperatively considered less probable due to the rarity of the affection and the advanced age. During laparotomy, the presence of the large mass observed at the ultrasound examination was revealed. Mucinous ascites was present with invasive mucinous implants in the peritoneum and in the greater omentum. Operation consisted in the total removal of the mass followed by evacuation of the mucinous ascites. Histological examination confirmed the clinical diagnosis of pseudomyxoma peritonei.


Keywords: pseudomyxoma, peritoneum, ultrasound examination, fibrous



Corresponding: Assoc Prof Maria Homeag , MD, PhD, Department of Internal Medicine, University of Medicine and Pharmacy Craiova, Str Petru Rares nr. 4, 200456, Craiova, Dolj, Romania homeag.maria@gmail.com


DOI 10.12865/CHSJ.35.03.11 - Download PDF
current issue cover Download cover
Download contents

Journal archive