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Abstract
A 69-year-old woman underwent a laparotomy with a preoperative diagnosis of umbilical tumor, right inguinal hernia and cholelithiasis in May 1986. Operative findigns showed pseudomyoma peritonei arising in the appendix and it caused the both umbilical and inguinal hernias containing gelatinous mucus. After repairing the hernias, the appendix and metastatic greater omentum were removed as possible as we could. Although abdominal cavity was washed out with bolous normal saline solusion, a large quantity of gelatinous material was left. A 60mg of mitomycin C was dispersed in the abdominal cavity. Tegafur suppository at a dose of 750mg per day was prescribed on and after postoperative day 15 (until October 1988). Thereafter, she underwent laparotomies for three times in January and September 1987 and October 1988 with a diagnosis of cicatricial hernia, and complete response to postoperative chemotherapy was confirmed because no mucinous tumor was identified in the abdominal cavity. The patient is doing well without any signs of recurrence as of 11 years after the initial laparotomy.
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