Inguinal Hernia as an Initial Presentation of Pseudomyxoma Peritonei
Published: October 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/28482.10766
Biswajit Dey, Gourav Kaushal, Prita Pradhan, Pampa Ch Toi, Biju Pottakkat
1. Senior Resident, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
2. Senior Resident, Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
3. Junior Resident, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
4. Associate Professor, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
5. Professor, Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Correspondence
Dr. Biswajit Dey,
Senior Resident, Department of Pathology JIPMER, Puducherry-605006, India.
E-mail: drbish25@rediffmail.com
Pseudomyxoma Peritonei (PMP) is characterized by presence of abundant extracellular mucin in the peritoneum. Preoperative diagnosis of pseudomyxoma peritonei is difficult due to its varied presentation. We report a case of pseudomyxoma peritonei in a 64-year-old male, who initially presented with right inguinal hernia and then with recurrence as left inguino-scrotal hernia. A debulking surgery including subtotal colectomy, cholecystectomy and splenectomy along with peritonectomy was performed. The left inguino-scrotal hernia was reduced and a left inguinal hernioplasty was performed. This case is reported to highlight that pseudomyxoma peritonei can present as inguinal hernia and therefore, a thorough examination of the hernial contents for mucin should be done.
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