Surdea-Blaga Teodora, Serban Oana, Rusu Ioana, Chira Romeo, Dumitrascu Dan
2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca.
1st Internal Medicine/Gastroenterology Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca.
Med Ultrason. 2025 Sep 17;27(3):358-360. doi: 10.11152/mu-4528. Epub 2025 Jun 19.
Pseudomyxoma peritonei (PMP) is a rare malignancy marked by mucinous ascites from neoplastic cell dissemination. We report a 50-year-old male with abdominal pain, weight loss, and ascites, initially suspected as hepatic metastases. Imaging revealed peritoneal implants and characteristic liver scalloping, but the percutaneous biopsy was inconclusive. Notably, contrast-enhanced ultrasound (CEUS) reproduced the hepatic scalloping typically seen on CT, helping distinguish mucinous peritoneal deposits from metastatic lesions. The patient's condition worsened and passed away. This case illustrates diagnostic difficulties, the limitations of biopsy, and the potential utility of CEUS in PMP.
