Pseudomyxoma peritoneii: a case report and review

ABSTRACT

A case of pseudomyxoma peritoneii in a forty year old male is presented. The origin of the disease from an appendix cyst adenoma was established. The difficulties in preoperative diagnosis are illustrated, with emphasis placed on the usefulness of the recently described abdominal ultrasonography and Computed Tomography scanning signs. Biochemical analysis of the gelatinous aspirate was found to be supportive of the diagnosis, as were estimations of raised serum and aspirate levels of Carcinoembryonic Antigen and IgG. Although surgical debulking is the basic treatment, due to the intra-abdominal recurrence of the disease, mucolytic treatment with 5% dextrose in water was found to be useful when used for peroperative and post-operative lavage