Pseudomyxoma peritonei et pleuri - appendiceal mucinous cystadenoma
Diagnosis almost certain
Presentation
Perforated appendix in 2009 with emergency appendectomy. Subsequent histology showed mucinous cystadenoma. Now abdominal distension.
Patient Data
Age: 45 years
Gender: Male
CT scan for staging in 2012
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Gross mucinous material (not fluid) surrounding the liver, causing marked distortion to the hepatic contour. Note infiltration through the right hemidiaphragm (arrow) into the right hemithorax.
Original CT in 2009 when...
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Original CT in 2009 when histological diagnosis was made
Small cystic lesion consistent with mucinous tumor involving the inverted stump of the appendix post emergency appendectomy.
Case Discussion
Pseudomyxoma peritonei that enters the pleural cavity has a much worse prognosis.