Asian Research Journal of Gynaecology and Obstetrics

Pseudomyxoma Peritoni From an Ovarian Mucinous Cystadenoma

S. N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Supriya Jatal

MGM Hospital & College, Navi Mumbai, India.

Ganesh Swami

V.D. Govt. Medical College, Latur, India.

*Author to whom correspondence should be addressed.

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Abstract

Pseudomyxoma peritonei is an exceptionally rare clinical syndrome, with an estimated annual incidence of 1-2 cases per million. This condition is characterized by the extensive accumulation of gelatinous ascites within the peritoneal cavity, and while it typically originates from the appendix (in 80-90% of cases), it can uncommonly arise from the ovary (in 10-15% of cases). Mucinous neoplasms of the ovary constitute 10-15% of all ovarian neoplasms, with the majority being benign (80%) or borderline (15-17%).

Among ovarian mucinous neoplasms, mucinous cystadenoma is a benign tumor originating from the ovarian surface epithelium and represents the second most common type of epithelial ovarian tumor. These tumor s have the potential to rupture spontaneously, leading to the development of mucinous ascites characterized by a yellowish-white jelly-like substance in the abdominal cavity, a condition colloquially referred to as "Jelly-Belly" abdomen.

This case report details a 50-year-old female who presented with a large ovarian mass on the right side accompanied by significant ascites, resulting in a Jelly-Belly abdomen. Surgical intervention revealed the mass to be a benign mucinous ovarian cystadenoma.

Keywords: Pseudomyxoma peritoni, mucinous ovarian cystadenoma, jelly-belly abdomen, mucinous adenocarcinoma of appendix

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References

Liu L, Sun L, Wang J, Ji G, Chen B, Zhang H. Ovarian cystadenocarcinoma and pseudomyxoma peritonei. BMJ Case Rep. 2010 Jul 7;2010:bcr0620080137.

DOI: 10.1136/bcr.06.2008.0137. PMID: 22753161; PMCID: PMC3029120.

Joseph R, Sathiamoorthy, Gnanasekaran R, et al. A case report of pseudomyxoma peritonei arising from primary mucinous ovarian neoplasms. Cureus. September 19, 2022;14(9): e29309. DOI:10.7759/cureus.29309

Fengcai Yan, Feng Shi, Xinbao, Chunkai Yu, Yulin Lin, Yan Li, Mulan Jin. Clinicopathological Characteristics of Pseudomyxoma Peritonei Originated from Ovaries, Cancer Management and Research; 2020. CMAR_A_264474 7569.7578 (dovepress.com)

Oyeyemi N, Agbo OJ, Ohaeri OS, Kofa RI, Egberipou II. Huge ovarian mucinous cystadenoma and pseudomyxoma ovarii/peritonei: A case report. Yen Med J. 2019;1(1):46-48.

Ramaswamy V. Pathology of Mucinous Appendiceal Tumors and Pseudomyxoma Peritonei. Indian J Surg Oncol. 2016 Jun;7(2):258-67.

Mittal R, Chandramohan A, Moran B. Pseudomyxoma peritonei: natural history and treatment. Int J Hyperthermia. 2017 Aug;33(5):511-519.

Gupta, Renuka & Bhatia, Shruti & Gupta, Amit & Bajaj, Sheena. Rare Case Report of Primary Pseudomyxoma Ovarii with Disseminated Peritoneal Adenomucinosis. Indian Journal of Gynecologic Oncology. 2018;16.

DOI:10.1007/s40944-018-0230-9.

Gatot Purwoto, Tricia Dewi Anggraeni, Primariadewi Rustamadji, Ilham Utama Surya, Kelli Julianti, Nathaniel Herlambang, Histopathological discrepancy and variation of surgical management in mucinous ovarian cystadenoma and pseudomyxoma peritonei, International Journal of Surgery Case Reports; 2022.

Available:https://doi.org/10.1016/j.ijscr.2022.107141.

Riho Yazawa, Hiroyuki Yazawa, Kaoru Fukuda, Miki Ohara, Fumihiko Osuka. Four cases of pseudomyxoma peritonei with ovarian tumors at our hospital, Fukushima Journal of Medical Science; 2023. Online ISSN : 2185-4610, Print ISSN : 0016-2590 ISSN-L : 0016-2590

Moran BJ, Cecil TD. The etiology, clinical presentation, and management of pseudomyxoma peritonei. Surg Oncol Clin N Am. 2003 Jul;12(3):585-603.