Mucinous ascites: Pseudomyxoma peritonei

Nepal, Sansrita; Schwertner, Adam; Cunningham, John M.

doi:10.3949/ccjm.89a.21086

Cited by 1 publication

(2 citation statements)

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“…The clinical presentation of PMP is primarily governed by the progressive accumulation of mucinous ascites within the abdomen, leading to increased intra-abdominal pressure [ 5 , 10 ]. Interestingly, a subset of patients remain asymptomatic for extended periods, with diagnosis occurring only incidentally during imaging or surgical procedures [ 10 ]. Notably, the majority of patients lack well-defined symptomatology until disease progression reaches a relatively advanced stage [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, the encounter of mucoid fluid during hernia repair necessitates meticulous cytological analysis to facilitate the identification of potential occult PMP [ 5 ]. Additional commonly reported symptoms include abdominal bloating, discomfort, and intestinal obstruction, and the latter, unfortunately, represents the leading cause of mortality in this patient population [ 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Pseudomyxoma Peritonei Misdiagnosed as Liver Cirrhosis: A Case Report and Literature Review

Alkhalil,

Al Omary

2024

Cureus

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Pseudomyxoma peritonei (PMP) is a rare intra-abdominal malignancy characterized by diffuse dissemination of mucinous tumor cells, leading to mucinous ascites. Accurate diagnosis is crucial for appropriate management. This report presents a case of a 55-year-old Lebanese male farmer initially misdiagnosed with liver cirrhosis who presented with progressive abdominal distension refractory to diuretics and dietary modifications. Paracentesis revealed a mucinous exudate, with subsequent clinical and histopathological examination confirming PMP. The patient was referred for further evaluation at a specialized center equipped for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). This case highlights the diagnostic challenges of PMP due to its non-specific presentation, emphasizing the importance of prompt and accurate diagnosis to facilitate optimal therapeutic intervention.

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