Imaging characterization of pseudomyxoma peritonei: a case report



Título del documento: Imaging characterization of pseudomyxoma peritonei: a case report
Revista: Journal of the Mexican Federation of Radiology and Imaging
Base de datos:
Número de sistema: 000606793
ISSN: 2696-8444
Autores: 1
1
Instituciones: 1Instituto Mexicano del Seguro Social, Hospital General Dr. Enrique Cabrera, Ciudad de México. México
Año:
Periodo: Ene-Mar
Volumen: 3
Número: 4
Paginación: 275-279
País: México
Idioma: Inglés
Tipo de documento: Artículo
Resumen en inglés Pseudomyxoma peritonei (PMP) is a rare condition characterized by the accumulation of mucinous (gelatinous) fluid in the abdominal cavity. This case report describes an 86-year-old woman with nonspecific abdominal symptoms and a ­progressive increase in her abdominal circumference. Abdominal ultrasound (US) showed a complex soft tissue mass attached to the liver and the visceral side of the peritoneum on the anterior wall. We observed an onion skin signcharacterized by alternating layers of dense and less dense tissue, and a starburst appearancecharacterized by radial echoes extending from a central point. Abdominal contrast computed tomography (CCT) showed visceral scalloping and omental caking, due to extensive peritoneal involvementthe omentum appeared diffusely thickened and adhered with centralized bowel loops. We identified an ill-defined mass in the cecum. Cytochemical analysis of the peritoneal fluid revealed a mucinous material with scant epithelial cellularity. PMP was diagnosed based on the classic imaging findings on abdominal US and CCT. This case report is intended for educational purposes. By documenting this case, we seek to improve the understanding of this rare neoplastic condition, emphasizing its imaging features on US and CCT.
Disciplinas: Medicina,
Medicina
Palabras clave: Oncología,
Diagnóstico
Keyword: Oncology,
Diagnosis
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