A Case of Pseudomyxoma Peritonei With a Synchronous Inguinal Hernia

Abstract

Pseudomyxoma peritonei (PMP) is a rare disease that most commonly results from the rupture of an appendiceal mucinous neoplasm. It is characterized by mucinous ascites that disseminates throughout the abdomen and pelvis, and at times to the inguinal canal, in which some patients may complain of inguinal hernia as the initial complaint. The incidence of PMP with concomitant inguinal hernia is reported to be 7.3-9.6% in the current literature. We report a 70-year-old Hispanic male who initially presented with signs of a right inguinal hernia, and on computed tomography (CT) scan, was subsequently found to have a large collection of right lower quadrant cysts extending into the right inguinal canal and hemiscrotum. Patient underwent exploratory laparotomy and was found to have a large right retroperitoneal mass with PMP with mucinous contents herniating through the right inguinal canal encased within peritoneal sac and had surgical debulking of peritoneal cavity and right hemiscrotum. The patient was discharged 9 days later. PMP that presents with an inguinal hernia is a special entity that warrants a discussion on the optimal management of inguinal involvement of a mucinous tumor.

J Curr Surg. 2020;10(3):49-53
doi: https://doi.org/10.14740/jcs415