Rare Presentation of Pseudomyxoma Retroperitonei: Stretching the Limits
- Author:
Roumina Hasan
;
Sandeep Kumar
;
Anuradha ck Rao
;
Rajagopal Kadavigere
- Publication Type:Case Reports
- Keywords:
pseudomyxoma retroperitonei;
magnetic resonance imaging;
appendix;
cystadenoma;
cystadenocarcinoma
- From:Malaysian Journal of Medical Sciences
2016;23(4):79-85
- CountryMalaysia
- Language:English
-
Abstract:
A 55-year-old woman presented with a mucopurulent sinusal discharge from the right
supragluteal region, with symptoms over the previous five months. This abscess began as a slowly
swelling growth, which eventually turned into a discharging sinus, and she was diagnosed with a
gluteal abscess. The patient underwent incisional drainage, and intra-operatively, the sinus tract could
be seen extending to the retroperitoneum. A subsequent CT scan and an MRI of the abdomen revealed
a large heterogeneous retroperitoneal cystic mass on the right side of midline, extending inferiorly
into the anterior thigh along the iliopsoas. Superiorly, a tubular projection extended from the lesion,
indenting the ileocaecal junction, while a fluid filled cutaneous fistulous tract was seen, extending
to the right flank. A diagnosis of pseudomyxoma retroperitonei, likely of retrocaecal appendicular
origin, was proposed. An explorative laparotomy with an appendectomy, and the evacuation of the
retroperitoneal collection were completed. The subsequent histopathology confirmed the diagnosis
of appendicular mucinous cystadenoma, with pseudomyxoma retroperitonei.
- Full text:P020160829845516446976.pdf
