Ghidirim Gh, Mishin I, Zastavnitsky Gh
First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University "N.Testemitsanu", National Center of Emergency Medicine, Kishinev, Moldova.
Chirurgia (Bucur). 2011 Jul-Aug;106(4):527-9.
Pseudomyxoma peritonei (PMP) is rare being characterized by intraperitoneal accumulation of mucinous ascites produced by neoplastic cells, mostly originating from a perforated appendiceal adenoma. The clinical signs of the disease are variable, and preoperative diagnosis is often difficult. We describe the clinical case of a 67-year-old patient referred to our unit one month after a left inguinal hernia repair, presenting clinical signs compliant with PMP. Surgical cytoreduction, peritonectomy, appendectomy, and greater omentectomy with perioperative intraperitoneal chemotherapy were performed. The patient was disease free for a 15 month period when he died apparently due to a cardiac event. We advocate that in all cases of gelatinous fluid in a hernia sac PMP must be suspected, thus histological investigation is mandatory as well as abdominal computed tomography (CT) in order to confirm the diagnosis.
腹膜假黏液瘤（PMP）较为罕见，其特征为肿瘤细胞产生的黏液性腹水在腹腔内积聚，多数起源于穿孔的阑尾腺瘤。该病的临床症状多变，术前诊断往往困难。我们描述了一例67岁患者的临床病例，该患者在左侧腹股沟疝修补术后一个月转诊至我院，表现出符合PMP的临床症状。实施了手术减瘤、腹膜切除术、阑尾切除术和大网膜切除术，并进行了围手术期腹腔内化疗。患者在15个月内无疾病复发，但最终显然因心脏事件死亡。我们主张，对于疝囊内出现胶冻样液体的所有病例，均须怀疑PMP，因此必须进行组织学检查以及腹部计算机断层扫描（CT）以确诊。
