PDF(Pubmed)
Abstract：
Pseudomyxoma peritonei (PMP) is a rare intra-abdominal malignancy characterized by diffuse dissemination of mucinous tumor cells, leading to mucinous ascites. Accurate diagnosis is crucial for appropriate management. This report presents a case of a 55-year-old Lebanese male farmer initially misdiagnosed with liver cirrhosis who presented with progressive abdominal distension refractory to diuretics and dietary modifications. Paracentesis revealed a mucinous exudate, with subsequent clinical and histopathological examination confirming PMP. The patient was referred for further evaluation at a specialized center equipped for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). This case highlights the diagnostic challenges of PMP due to its non-specific presentation, emphasizing the importance of prompt and accurate diagnosis to facilitate optimal therapeutic intervention.
摘要：
腹膜假粘液瘤（PMP）是一种罕见的腹腔内恶性肿瘤，其特征是粘液性肿瘤细胞的弥漫性扩散。导致黏液性腹水.准确的诊断对于适当的管理至关重要。本报告介绍了一例55岁的黎巴嫩男性农民，最初被误诊为肝硬化，他表现为利尿剂和饮食调整难以治疗的进行性腹胀。穿刺术显示有粘液样渗出物,随后的临床和组织病理学检查证实了PMP。患者被转诊至配备细胞减灭术（CRS）和腹腔热化疗（HIPEC）的专门中心进行进一步评估。由于PMP的非特异性表现，该病例突出了PMP的诊断挑战，强调及时准确诊断以促进最佳治疗干预的重要性。
