Rezkalla M A, Peterson K G, Ryan J J
Loma Linda VA Medical Center, USA.
S D Med. 2006 Feb;59(2):54-5, 57.
Pseudomyxoma peritonei is a rare neoplastic condition characterized by diffuse collections of gelatinous fluid associated with mucinous implants on the peritoneal surfaces and omentum. Typical presentations include suspected acute appendicitis, increasing abdominal girth, new onset hernia and in women, an ovarian mass. The exact pathological origin, classification, and ideal treatment have been the subject of debate in the literature. Although optimum treatment is debatable, most expert opinion favors extensive surgical debulking with or without adjuvant therapy. We present a case of a 51-year-old man who presented with an inguinal hernia that was, in fact, secondary to pseudomyxoma peritonei. It is best practice, we believe, that any mucoid fluid encountered during hernia repair should be recovered and, along with the hernial sac, be assessed histologically.
腹膜假黏液瘤是一种罕见的肿瘤性疾病，其特征为腹膜表面和大网膜上有黏液性种植体并伴有弥漫性胶冻样液体聚集。典型表现包括疑似急性阑尾炎、腹围增加、新发疝气，女性患者还可表现为卵巢肿物。确切的病理起源、分类及理想的治疗方法一直是文献中争论的焦点。尽管最佳治疗方法存在争议，但大多数专家意见倾向于进行广泛的手术减瘤，可联合或不联合辅助治疗。我们报告一例51岁男性患者，其腹股沟疝实际上继发于腹膜假黏液瘤。我们认为，最佳做法是在疝修补过程中遇到的任何黏液样液体都应回收，并与疝囊一起进行组织学评估。
