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BMJ Case Rep. 2014 May 22;2014. pii: bcr2014204748. doi: 10.1136/bcr-2014-204748.

A weeping umbilical hernia: bilateral ovarian mucinous cystadenoma with disseminated peritoneal adenomucinosis.

Author information

  • 1Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
  • 2Department of Radiodiagnosis, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
  • 3Department of Pathology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.

Abstract

A young woman was referred to us for the management of an umbilical hernia with macerated overlying skin through which massive ascites was leaking. On examination we found a jelly-like substance seeping out of the opening. A contrast-enhanced CT scan of the abdomen revealed bilateral ovarian cystadenocarcinoma with pseudomyxoma peritonei. The patient underwent cytoreductive surgery along with hysterectomy and bilateral oophorectomy followed by hyperthermic intraperitoneal chemotherapy with mitomycin C. Histopathological examination showed bilateral borderline cystadenoma with peritoneal adenomucinosis. Follow-up at 1 year showed no signs of recurrence.

2014 BMJ Publishing Group Ltd.

[PubMed - indexed for MEDLINE]
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