Huge and Unique Pseudomyxoma Peritonei

A 52-year-old women with recurrent mucinous ovarian adenocarcinoma stage IIIC came to the hospital with mass in abdomen (Fig. 1). CT scan showed accumulation of mucinous fluid and incisional hernia. Surgery was performed, 21 litres mucinous fluid was evacuated (Fig. 2), peritoneal pocket was found and removed (Figs. 3, 4, 5). The patient recovered well and was discharged from the hospital on day seven after surgery. One month after surgery, patient visited emergency room with complaints of breathlessness. Chest X-ray showed bilateral pneumonia with Covid-19 disease. Patient succumbed due to worsening of the disease.

Fig. 2.

Twenty one liters of mucinous fluid was evacuated

Fig. 3.

The peritoneal pockets were also filled with mucinous fluid

Fig. 4.

Peritoneal pockets were removed

Fig. 5.

The abdomen was closed. Two drains were attached

Fig. 1.

Enlarged abdomen filled with mucinous fluid

Brahmana Askandar Tjokroprawiro

is the head of the Division of Gynecologic Oncology, Dr. Soetomo General Academic Hospital, Medical Faculty – Universitas Airlangga Surabaya. He graduated as a gynecologic oncologist in 2006 from Indonesia University. He is the National Coordinator of Gynecologic Oncology Fellowship Program. He spends a lot of his time teaching, researching and providing services to patients in outpatient clinic and in operating theatre. He is the Chairman of Indonesia Medical Association Surabaya branch.

Funding

This study did not receive any funding

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

A written and informed consent was obtained from the patient informing them about the publication of case and pictures in the journal.