Darnis F, Fauvert RMésothéliome péritonéal malin diffus (ascite visqueuse Quinton A, Beylot J, Lebras MPéritonites gélatineuses (à propos de 2 cas). Dec 18, The main sign is abdominal ascites: from a simple effusion to an . La maladie gélatineuse du péritoine à propos d’un cas: médecine du. Jun 6, Request PDF on ResearchGate | La maladie gélatineuse du péritoine | Pseudomyxoma peritonei or gelatinous ascites is a rare clinical entity.
|Genre:||Health and Food|
|Published (Last):||20 April 2017|
|PDF File Size:||13.21 Mb|
|ePub File Size:||19.10 Mb|
|Price:||Free* [*Free Regsitration Required]|
But laparotomy remains a good method.
The ovaries show no macroscopic abnormalities but are covered with mucus. Differential diagnosis The differential diagnosis includes secondary peritoneal carcinomatoses and other rare peritoneal tumors.
There was a problem providing the content you requested
Discussion about the Recommendations Found in the Literature Regarding Treatment The mainstay of the treatment is surgery and chemotherapy. The main symptom for discovery was a chronic pelvic abdominal pain. This sscite the most severe complication with diffusion of the gelatin responsible for occlusion, severe adherences between abdominal organs 34.
In fact, intraoperative chemotherapy 8 — 11 and postoperative chemotherapy significantly improve the prognosis. The documents contained in this web site are presented for information purposes only. Access to the text HTML. The mainstay of the treatment is surgery asvite chemotherapy. Therapeutic approach of human peritoneal carcinomatosis with Dbalt in combination with capnoperitoneum: The peritoneal lavage is then carried out.
Top of the page – Article Outline. First, a gelatinous disease of the peritoneum indicates the presence of a gelatinous ascites, due to mucin-producing tumor cells implanted on the peritoneal surfaces. Should the treatment of peritoneal preitoine by cytoreductive surgery and HIPEC still be regarded as a highly morbid procedure. Radiologists requested an abdominal scan to visualize an ovarian malignant pathology.
Thoracoabdominal contrast-enhanced MRI and CT scan were then performed after an endovaginal ultrasound showing a left adnexal ovarian mass that is heterogeneous and little mobile. Am J Surg Pathol 30 The circulation of the fluid seems to affect mainly all the areas covered by the parietal peritoneum. Mucocele of the appendix: An exploratory laparoscopy is performed showing a gelatinous disease of the peritoneum.
Click here to see the Library ]ce sont: The mucocele is due to the chronic nature of luminal distension. Dis Colon Rectum World J Gastroenterol ; There are currently no validated recommendations on clinical management and no cytotoxic agents have been granted a European Marketing Authorization MA in this indication. The problem of peritoneal disease is that it remains microscopic, and surgical redux would require removal of the entire peritoneum, but this long and dangerous surgery can result in large complications or even vital prognosis.
History Infirst Rokitansky and then Cruveilhier described gelatinous degeneration in the peritoneum and believed that the disease originated in the ovaries 1. The authors report a case of pseudomyxoma peritonei with gelatinous peritoneum in a year-old-woman.
Mod Pathol Ovarian mucinous tumour arising in mature cystic teratoma and associated with pseudomyxoma peritonei: BM Ronnett, et al.
digestif – Mucocèle appendiculaire et pseudomyxome péritonéal – EM|consulte
In the case of our patient, washing and aspiration were performed to remove the maximum of the gelatinous effusion, and staging was completed by performing biopsies of the peritoneum and the macroscopically normal ovaries. Critical analysis of treatment failure after complete cytoreductive surgery and perioperative intraperitoneal chemotherapy asvite peritoneal dissemination from appendicular mucinous neoplasms. Ann Surg Oncol 4 Ann Surg Oncol Pseudomyxoma peritonei is characterized by disseminated intra-peritoneal mucinous tumors and mucinous ascites in the abdomen and pelvis.
Journal List Front Surg v. Mucinous Lesions with a High Risk of Recurrence Group 3 consists of lesions of mucinous neoplasia of low grade, with or without cysts, characterized by a proliferation of cylindrical epithelial cells, flat or villous architecture with the presence gelarineuse mucus, extraappendicular neoplastic cells, and absence of invasive extraappendicular focus.
On the other hand, the gelatineusf appeared abnormal, and we confirmed an appendectomy. The three reasons for appendicitis are obstruction, distension, and rupture with intraperitoneal dissemination of the mucus.
They allow seeing the implants, the associated tumors ovariesthe effusion, gelqtineuse extension of the disease on mesentery, and in deciding the surgical strategy. Treatment strategies require a multidisciplinary approach and must be discussed by a panel of physicians in a specialized center.
Computed tomography and sonography. This is why some authors propose pressurized intraperitoneal aerosol chemotherapy.