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2018 ; 2018
(5
): rjy099
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Abdominal hernia and the unexpected final diagnosis
#MMPMID29977505
Cevallos JM
; Moyon MA
; Pozo NE
; Molina GA
J Surg Case Rep
2018[May]; 2018
(5
): rjy099
PMID29977505
show ga
Mucinous neoplasm of the appendix are rare entities, among these, mucinous
cystadenomas contribute to 31-34%. Cystadenomas often produce extensive
dilatation of the appendix with epithelial atypia. Spontaneous perforation often
occurs in 20%, leading to mucin distribution throughout the peritoneal cavity.
Half of the patients are completely asymptomatic and are detected as an
incidental diagnosis, others symptoms include a palpable mass, hernias, weight
loss, peritonism or even intestinal obstruction. We present a case of a
71-year-old female, she presented with a palpable mass in the upper abdomen. A
ventral hernia was the most likely diagnosis and hernioplasty was planned. At
surgery, a mucinous mass was discovered and mucous material was found free en the
peritoneal cavity. Also, a perforated appendix and a mass in the cecum was found.
Patient underwent full recovery. Pathology reported pseudomyxoma peritonei as the
final diagnosis.