Bilateral ovarian masses, massive ascites, and prior appendectomy: must it be ovarian cancer? ——a case report of pseudomyxoma peritonei 24 years after appendectomy - Summary - MDSpire
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Bilateral ovarian masses, massive ascites, and prior appendectomy: must it be ovarian cancer? ——a case report of pseudomyxoma peritonei 24 years after appendectomy
To present a case of pseudomyxoma peritonei (PMP) occurring 24 years after an appendectomy and to highlight the diagnostic challenges associated with its metachronous presentation.
Key Findings:
The patient was diagnosed with pseudomyxoma peritonei, despite initial suspicions of ovarian cancer.
Intraoperative findings included widespread gelatinous material and nodular implants throughout the peritoneum.
The case illustrates the potential for gastrointestinal-origin PMP to present as advanced ovarian masses long after an appendectomy.
Interpretation:
The findings highlight the importance of considering PMP in patients with a history of appendectomy presenting with ovarian masses and ascites.
Limitations:
The rarity of metachronous presentations of PMP complicates diagnosis and management.
The case is based on a single patient, limiting generalizability.
Conclusion:
Long-term follow-up is important for patients with a history of appendectomy to monitor for potential development of PMP.
