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Informative Article | Surgery | India | Volume 13 Issue 3, March 2024

A Case Report: Pseudomyxoma Peritonei due to Ruptured Appendicular Mucocele

Dr Arpan Bera

Abstract: This article details a unique case of Pseudomyxoma Peritonei PMP, a rare condition characterized by mucinous ascites and peritoneal implants, originating from a ruptured appendicular mucocele in a 36 - year - old female with no significant past medical history. Initially presenting with abdominal pain and distension, investigations led to surgical intervention, revealing extensive intra - abdominal mucinous material. The histopathology confirmed high - grade appendicular mucinous neoplasm with omental involvement. The discussion emphasizes the importance of specialized, multidisciplinary care for PMP patients, highlighting the prognostic value of tumor markers like CEA, CA 19.9, and CA 125 in appendiceal and ovarian PMP, respectively. The article advocates for the combined treatment approach of cytoreductive surgery CRS with hyperthermic intraperitoneal chemotherapy HIPEC as the gold standard for PMP management, offering significant survival benefits. It also outlines the necessity of long - term surveillance due to the potential for late recurrences and considers systemic chemotherapy for specific high - grade cases.

Keywords: Pseudomyxoma Peritonei, Appendicular Mucocele, Cytoreductive Surgery, Hyperthermic Intraperitoneal Chemotherapy, Tumor Markers

Edition: Volume 13 Issue 3, March 2024,

Pages: 1313 - 1314