Difficult to diagnose Intraabdominal tumor - Pseudomyxoma Peritonei

Abstract

Pseudomyxoma peritonei (PMP) is a rare neoplastic, chronic and insufficient disease, which has the the characteristics of the diseminated mucinous ascites and the presence of peritoneal implants. The making of precise and well-timed diagnosis is a difficult process because of the lack specific symptoms. The exact preoperative diagnosis ‘PMP` can be prescribe after CT-imaging, which is sensitive with its ‘mussel shell` symptom on the surface of the visceral organ, resulting from the compresion of the vicouse mucinous ascites and the presence of fibrosis. We report a rare case of our practice, with anamnesis of abdominal swelling, lost of apetite, consumative syndrome - more than 10 kilos for two months. The difficulties in diagnostic process were overhelmed. Despite of the quantity of the studies, directed to the treatment of PMP, this disease stay constantly enigmatic with prolongated clinical elapsing and the high level of recurrency in the complex treatment and have to be discussed the application of operative methods and chemotherapy. Scripta Scientifica Medica 2008;40(1):59-62