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CASE REPORT
A weeping umbilical hernia: bilateral ovarian mucinous cystadenoma with disseminated peritoneal adenomucinosis
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  1. Varun Kumar Singh1,
  2. Kumar Nishant1,
  3. Barun Kumar Sharma2,
  4. Rachna Lamichaney3
  1. 1Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  2. 2Department of Radiodiagnosis, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  3. 3Department of Pathology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  1. Correspondence to Dr Varun Kumar Singh, varunsingh.vks{at}gmail.com

Summary

A young woman was referred to us for the management of an umbilical hernia with macerated overlying skin through which massive ascites was leaking. On examination we found a jelly-like substance seeping out of the opening. A contrast-enhanced CT scan of the abdomen revealed bilateral ovarian cystadenocarcinoma with pseudomyxoma peritonei. The patient underwent cytoreductive surgery along with hysterectomy and bilateral oophorectomy followed by hyperthermic intraperitoneal chemotherapy with mitomycin C. Histopathological examination showed bilateral borderline cystadenoma with peritoneal adenomucinosis. Follow-up at 1 year showed no signs of recurrence.

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