Abstract
Pseudomyxoma peritonei (PMP) is a condition characterized by the accumulation of mucinous material in the peritoneal cavity (gelatinous ascites). Pseudomyxoma peritonei is an uncommon condition in which mucinous ascites causes progressive abdominal distension and gastrointestinal dysfunction. We present a case of 44 year old female who presented with gradually progressive abdominal distension since 6 months. An ascitic tap was performed and the fluid was sent for cytological study. Cytology showed pools of acellular mucin. On laparotomy there was mucinous material in the abdomen that was evacuated. Appendix and omentum were found to be thickened, hence appendicectomy was done and omental biopsy taken. Histopathological diagnosis of well differentiated mucinous adenocarcinoma of appendix with rupture and mucinous ascitis was made.
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