Récidive d'un pseudomyxome péritonéal avec métastases hépatique et splénique: à propos d'un cas rare avec revue de littérature

  • Mustapha Azzakhmam
  • Fouad Zouaidia
  • Ahmed Jahid
  • Kaoutar Znati
  • Zakia Bernoussi
  • Najat Mahassini
Keywords: Peritoneal pseudo-myxoma, splenic metastasis, liver metastasis

Abstract

Pseudomyxoma peritonei (PMP) is a clinicopathologic syndrome characterized by mucinous ascites and pools of mucin resulting in neoplastic mucinous epithelium in the peritoneal cavity. PMP is uncommon and it is characterized by clinical and unusual pathologic manifestations posing diagnostic and therapeutic problems. Involvement of abdominal viscera and lymph node metastases are rare and sporadic cases have been reported in the literature. We here report the case of a 56-year old patient who had undergone two operations for PMP of appendicular origin presenting with progressive abdominal pain five years after his last treatment. Scanner objectified a recurrence of peritoneal pseudo-myxoma with liver and splenic intraparenchymatous lesions. Anatomopathological examination showed intrasplenic and hepatic recurrence of low-grade peritoneal pseudo-myxoma confirming the metastases.

Keywords: Peritoneal pseudo-myxoma, splenic metastasis, liver metastasis

Author Biographies

Mustapha Azzakhmam
Laboratoire d’Anatomie Pathologique, Hôpital Militaire d’Instruction Mohamed V, Rabat, Faculté de Médecine et de Pharmacie de Rabat, Maroc
Fouad Zouaidia
Laboratoire d’Anatomie Pathologique, Centre Hospitalier Universitaire Avicenne, Rabat, Maroc
Ahmed Jahid
Laboratoire d’Anatomie Pathologique, Centre Hospitalier Universitaire Avicenne, Rabat, Maroc
Kaoutar Znati
Laboratoire d’Anatomie Pathologique, Centre Hospitalier Universitaire Avicenne, Rabat, Maroc
Zakia Bernoussi
Laboratoire d’Anatomie Pathologique, Centre Hospitalier Universitaire Avicenne, Rabat, Maroc
Najat Mahassini
Laboratoire d’Anatomie Pathologique, Centre Hospitalier Universitaire Avicenne, Rabat, Maroc
Published
2019-02-18
Section
Articles

Journal Identifiers


eISSN: 1937-8688