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2020, Number 1

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Revista de Ciencias Médicas de la Habana 2020; 27 (1)

Atypical evolution of and elder man with peritoneal pseudomyxoma under surgical treatment

Sera BlRA, Matos AA, Vallejo RAJ, Sera GR

Language: Spanish
References: 10
Page: 85-93
PDF size: 1039.93 Kb.


ABSTRACT

A 76 year old male patient assisted at Leopoldito Martinez General Teaching Hospital in San Jose de las Lajas, Mayabeque, is described. He attended complaining of abdominal pain and nausea, the diagnosis of Pseudomyxoma with Peritoneal Carcinomatosis was performed. Ultrasonography study and abdominal tomography showed the existence of a hyperechoic and trabeculae mass in the site of the left hypochondria. In the first abdominal surgery, excision of a mucinous mass of the major omentum and the left sub diaphragmatic region was performed. A second clinical and images evaluation evidenced splenomegaly and splenectomy is decided to perform. The biopsy showed abundant infiltrates of lymphomonocytic cells with chronic inflammatory appearance in the spleen. Six years after the first intervention, the patient is still alive and with acceptable health status, although he had not received cytoreductive surgery or intra-abdominal chemotherapy with hyperthermia as it is stated in the literature.


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