Rare presentation of pseudomyxoma retroperitonei: Stretching the limits

Hasan, Roumina and Kumar, Sandeep and Rao, Anuradha CK and Kadavigere, Rajagopal (2016) Rare presentation of pseudomyxoma retroperitonei: Stretching the limits. Malaysian Journal of Medical Sciences, 23 (4). pp. 79-85. ISSN 1394-195X

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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.

Item Type: Article
Uncontrolled Keywords: Pseudomyxoma retroperitonei; magnetic resonance imaging; appendix; cystadenoma; cystadenocarcinoma.
Subjects: Medicine > MMMC Manipal > Pathology
Medicine > KMC Manipal > Pathology
Medicine > KMC Manipal > Radiology
Depositing User: KMC Library
Date Deposited: 18 Aug 2016 09:46
Last Modified: 18 Aug 2016 09:46
URI: http://eprints.manipal.edu/id/eprint/146799

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