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1.
Journal of Family and Community Medicine. 2010; 17 (2): 103-106
Dans Anglais | IMEMR | ID: emr-117661

Résumé

Pseudomyxoma peritonei is a rare progressive disease. Patients commonly present with a picture of acute appendicitis or with increasing abdominal girth. We present a case of a 71 year old man who presented with right iliac fossa pain, fever and vomiting. His abdominal examination revealed right iliac fossa mass which was confirmed radiologically. Diagnostic laparoscopy showed jelly like material along with a right iliac fossa mass. The aspirate was negative for malignancy initially. Due to persistance and progression of his disease he underwent right hemicolectomy. Histopathological diagnosis showed moderately differentiated adenocarcinoma of the cecum Duke's C2


Sujets)
Humains , Mâle , Sujet âgé , Pseudomyxome péritonéal/étiologie , Adénocarcinome/diagnostic , Caecum/anatomopathologie , Adénocarcinome/anatomopathologie
2.
PJS-Pakistan Journal of Surgery. 2007; 23 (1): 36-40
Dans Anglais | IMEMR | ID: emr-84942

Résumé

To evaluate the various presentations, causes and management of Pseudomyxoma Peritonei [PMP], and to create awareness among young surgeons regarding its importance. Retrospective study from Jan. 1999 to Dec. 2005. Surgical Unit of Khyber Teaching Hospital, Peshawar and Gynaecology and Obstetrics Unit, Hayatabad Medical Complex, Peshawar. All patients who had Pseudomyxoma Peritonei during the study period. The clinical records of all patients undergoing laparotomy for various causes were reviewed and cases of PMP separated. Their biodata, clinical presentation, clinical diagnosis, investigation results, operative findings, histopathology report and outcome were recorded. Out of 23,573 cases that underwent laparotomy 17 cases of PMP were on record. All were diagnosed incidentally per-operatively. Most [47.05%] cases were seen in the age group of 30-40 years and 58.82% patients were females. Abdominal pain, mass, abdominal distension and intestinal obstruction were the common presenting features. Ultrasound and CT scan reported three cases as ovarian cysts, three as multiple encysted fluid collections with thin cyst walls, two as ascites, two as ascites with peritoneal thickening, but none as PMP. Surgery was the mainstay of treatment. Appendicectomy with clearing of mucin in 11[64.70%], oophorechtomy and appendicectomy in 3[17.64%], bilateral oophorechtomy and hysterectomy in 2[11.76%], right hemi-colectomy in 1[5.88%] and second look surgery for complications were done in 2[11.76%] cases. Mortality was 11.76% and due to complication including one due to intestinal obstruction and another due to septicemia following second look surgery. Histopathological tissue diagnosis was available in only 13 cases and included mucinous adenoma appendix in five, mucinous cystadenoma ovary in three, mucinous epithelial cells of unknown origin in four and mucinous cystadenoma of borderline malignancy in one case. PMP is under reported in our setup. Pre-operative diagnosis is difficult and incidental findings usually go unnoticed due to lack of awareness and standard management protocol. There is a need to create awareness among surgeons, radiologists, pathologist and oncologist regarding this condition for the better outcome


Sujets)
Humains , Mâle , Femelle , Tumeurs du péritoine , Pseudomyxome péritonéal/étiologie , Pseudomyxome péritonéal/chirurgie , Études rétrospectives , Pseudomyxome péritonéal/anatomopathologie , Kystes de l'ovaire , Ascites , Appendice vermiforme/anatomopathologie , Conscience immédiate
3.
Rev. argent. radiol ; 62(2): 147-51, abr.-jun. 1998. ilus
Article Dans Espagnol | LILACS | ID: lil-222915

Résumé

Los autores presentan un caso de pseudomixoma peritoneal desarrollado a partir de un adenocarcinoma mucosecretante de colon. Se analizan los signos aportados por TC y RM destacándose la mayor sensibilidad tomográfica para la demostración de comprensiones intestinales así como para la identificación de calcificaciones originadas postquimioterapia


Sujets)
Humains , Femelle , Adulte d'âge moyen , Pseudomyxome péritonéal/diagnostic , Tumeurs du côlon/complications , Imagerie par résonance magnétique , Pseudomyxome péritonéal , Pseudomyxome péritonéal/étiologie , Spectroscopie par résonance magnétique , Tomodensitométrie
4.
Rev. méd. Chile ; 122(11): 1303-6, nov. 1994. ilus
Article Dans Espagnol | LILACS | ID: lil-144031

Résumé

We report a 40 years old female that presented with an ovarian tumor and ascitis. The exploratory laparotomy revealed a mucocele of the appendix that was informed as a cystadenoma of the appendix in the fast biopsy. The definitive pathological diagnosis, a cystadenocarcinoma of the appendix, motivated a second intervention, preforming a right hemicolectomy, left adnexectomy and omentumectomy. Three years later she presented with an abdominal mass and was subjected to a total hysterectomy and right adnexectomy. The pathological diagnosis was a mucinous cystadenocarcinoma with peritoneal involvement. The patient completed five years of follow up since the first intervention and is free of tumor. Pseudomixome peritoneai generally is a tumor of ovarian origin, followed by the appendix. Surgical treatment must include the excision of neighboring compromised organs. The follow up must be lengthy considering the possibility of late recurrences


Sujets)
Humains , Femelle , Adulte , Pseudomyxome péritonéal/chirurgie , Cystadénocarcinome/chirurgie , Tumeurs de l'appendice/chirurgie , Pseudomyxome péritonéal/diagnostic , Pseudomyxome péritonéal/étiologie , Tumeurs du caecum/chirurgie , Maladies des annexes de l'utérus/anatomopathologie , Mucocèle/chirurgie , Récidive tumorale locale/diagnostic , Invasion tumorale/anatomopathologie
5.
Article Dans Anglais | IMSEAR | ID: sea-87058

Résumé

Pseudomyxoma peritonei is an infrequently encountered clinical entity which presents mainly with abdominal distension. We present here our experience with three such cases and emphasize on the aggressive combined operative and chemotherapeutic approach in this disease.


Sujets)
Adénocarcinome mucineux/complications , Adulte , Tumeurs de l'appendice/complications , Humains , Mâle , Adulte d'âge moyen , Omentum/anatomopathologie , Tumeurs du péritoine/complications , Pseudomyxome péritonéal/étiologie
6.
Bol. Asoc. Méd. P. R ; 79(1): 21-3, ene. 1987. ilus
Article Dans Anglais | LILACS | ID: lil-66483

Résumé

El caso clínico de un mucocele del apendice vermiforme en asociación con pseudomyxoma peritonei como un hallazgo incidental intraoperatorio durante la reparación de una ahernia umbilical es presentado. Un repaso detallaldo de la literatura médica disponible de este tema propone que el término de "mucocele" no es un termino descriptivo correcto, y que la clasificación propia a espectro clinicopatológico que va desde hiperplasia de la mucosa a cistadenoma mucinoso a cistadenocarinoma mucinoso en asociación con pseudomyxoma peritonei


Sujets)
Sujet âgé , Humains , Femelle , Appendice vermiforme , Tumeurs du caecum/complications , Tumeurs du caecum/anatomopathologie , Hernie ombilicale/chirurgie , Mucocèle/complications , Mucocèle/anatomopathologie , Pseudomyxome péritonéal/étiologie , Hernie ombilicale/complications
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