Pseudomixomul peritoneal (PMP) este o nosologie rarã, caracterizatã
prin acumularea intraperitonealã de mucus produs de
celule neoplazice de origine apendicularã. Semnele clinice
fiind diverse, diagnosticul preoperator deseori este dificil.
Descriem cazul clinic al unui pacient de 67 ani, internat la
peste o lunã de la herniotomie prezentând semne clinice de
PMP. A fost efectuatã citoreducerea chirurgicalã, peritoneumectomie,
apendiciectomie, omentectomie şi chimioterapie
intraperito-nealã perioperatorie. Pacientul a fost
asimptomatic timp de 15 luni, când a decedat aparent în urma
unui atac cardiac. În concluzie, în caz de prezenåã a lichidului
gelatinos în timpul herniotomiei – pacientul trebuie investigat
histologic şi tomografic pentru a confirma PMP.

Pseudomyxoma peritonei (PMP) is rare being characterized by
intraperitoneal accumulation of mucinous ascites produced by
neoplastic cells, mostly originating from a perforated
appendiceal adenoma. The clinical signs of the disease are
variable, and preoperative diagnosis is often difficult. We
describe the clinical case of a 67-year-old patient referred to
our unit one month after a left inguinal hernia repair,
presenting clinical signs compliant with PMP. Surgical cytoreduction,
peritonectomy, appendectomy, and greater omentectomy
with perioperative intraperitoneal chemotherapy were
performed. The patient was disease free for a 15 month period
when he died apparently due to a cardiac event. We advocate
that in all cases of gelatinous fluid in a hernia sac PMP must
be suspected, thus histological investigation is mandatory as
well as abdominal computed tomography (CT) in order to
confirm the diagnosis.