Imaging characterization of pseudomyxoma peritonei: a case report

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 ultrasou...

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Main Authors: Araceli Cue-Castro, Oscar Villagomez-Figueroa
Format: Article
Language:English
Published: Permanyer 2024-10-01
Series:Journal of the Mexican Federation of Radiology and Imaging
Online Access:https://www.jmexfri.com/frame_eng.php?id=123
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author Araceli Cue-Castro
Oscar Villagomez-Figueroa
author_facet Araceli Cue-Castro
Oscar Villagomez-Figueroa
author_sort Araceli Cue-Castro
collection DOAJ
description 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” sign”–characterized by alternating layers of dense and less dense tissue–, and a “starburst” appearance–characterized by radial echoes extending from a central point. Abdominal contrast computed tomography (CCT) showed visceral scalloping and “omental caking,” due to extensive peritoneal involvement–the 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.
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spelling doaj-art-0eeff1010f7e4bffa23b32c3ab4888ae2025-01-06T22:25:45ZengPermanyerJournal of the Mexican Federation of Radiology and Imaging2938-12152696-84442024-10-013410.24875/JMEXFRI.24000027Imaging characterization of pseudomyxoma peritonei: a case reportAraceli Cue-Castro0Oscar Villagomez-Figueroa1Department of Imaging, Hospital General “Dr. Enrique Cabrera”, Instituto Mexicano del Seguro Social IMSSBienestar, Mexico City, MexicoDepartment of Internal Medicine. Hospital General “Dr. Enrique Cabrera”, Instituto Mexicano del Seguro Social IMSSBienestar, Mexico City, MexicoPseudomyxoma 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” sign”–characterized by alternating layers of dense and less dense tissue–, and a “starburst” appearance–characterized by radial echoes extending from a central point. Abdominal contrast computed tomography (CCT) showed visceral scalloping and “omental caking,” due to extensive peritoneal involvement–the 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. https://www.jmexfri.com/frame_eng.php?id=123
spellingShingle Araceli Cue-Castro
Oscar Villagomez-Figueroa
Imaging characterization of pseudomyxoma peritonei: a case report
Journal of the Mexican Federation of Radiology and Imaging
title Imaging characterization of pseudomyxoma peritonei: a case report
title_full Imaging characterization of pseudomyxoma peritonei: a case report
title_fullStr Imaging characterization of pseudomyxoma peritonei: a case report
title_full_unstemmed Imaging characterization of pseudomyxoma peritonei: a case report
title_short Imaging characterization of pseudomyxoma peritonei: a case report
title_sort imaging characterization of pseudomyxoma peritonei a case report
url https://www.jmexfri.com/frame_eng.php?id=123
work_keys_str_mv AT aracelicuecastro imagingcharacterizationofpseudomyxomaperitoneiacasereport
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