Pseudomyxoma Peritonei: A Case Report of an Incidental Finding at Cesarean Section

Abstract

Pseudomyxoma peritonei (PMP) is a rare neoplasia, the approach to which was largely palliative until recently. A 27-year-old nulliparous patient with a presumed dermoid cyst and pelvic pain related to pregnancy was incidentally found to have disseminated PMP during cesarean section at term for a breech presentation. The patient underwent surgical cytoreduction, operative heated intraperitoneal chemotherapy and early postoperative intraperitoneal chemotherapy, a novel approach known as the Sugarbaker technique. A literature review of this rare clinical scenario and a discussion of diagnosis and management are presented.




J Clin Gynecol Obstet. 2016;5(1):32-36
doi: http://dx.doi.org/10.14740/jcgo332w