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A Primary Peritoneal Pseudomyxoma Peritonei Arising from the Mullerian Tissue: a Case Report
Authors:A Ouazzani  M Adler  N Nagy  M Zalcman  M Gelin  P Loi
Institution:1. Departments of Surgery, Erasme University Hospital, Brussels, Belgium.;2. Departments of Gastroenterology, Erasme University Hospital, Brussels, Belgium.;3. Departments of Pathology, Erasme University Hospital, Brussels, Belgium.;4. Departments of Radiology, Erasme University Hospital, Brussels, Belgium.
Abstract:A primary Pseudomyxoma Peritonei is uncommon. For a long time, ovaries, colon and appendix were proposed like a site origin of these enigmatic lesions. Recent publications show that the majority of cases are due to a rupture of appendicle adenoma.

We report a case of a pseudomyxoma peritonei arising in an elderly patient with a previous medical history of appendectomy undergone in infancy. The pseudomyxoma was misdiagnosed as an abdominal abscess related to colitis. In our opinion, metaplasia of the Müllerian system is a possible source of a primary peritoneal pseudomyxoma.
Keywords:Pseudomyxoma Peritonei  Müllerian system  primary mucinous neoplasm
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