The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
A CASE OF PERITONEAL PSEUDOMYXOMA SUCCESSFULLY TREATED BY INTRAPERITONEAL SUSTAINED LAVAGE USING A CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) SYSTEM AND INTRAPERITONEAL CHEMOTHERAPY
Hiroshi NARITAFutoshi TERANISHIKeiichi HORIMasaki HATOAkitoshi ITOTadao MANABE
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Volume 56 (1995) Issue 10 Pages 2210-2214

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Abstract

A 43-year-old woman underwent a laparotomy with a preoperative diagnosis of acute appendicitis. Based on intraoperative and histopathological findings, the definite diagnosis of peritoneal pseudomyxoma due to a mucinous cystadenocarcinoma arising in the appendix was made postoperatively. When the surgical wound was sutured, a large quantity of gelatinous material was left. For the purpose of cleaning the remnant material, we directed the patient to perform intraperinoneal lavage at home every day, by using a continuous ambulatory peritoneal dialysis (CAPD) system. During the same period intraperitoneal chemotherapy with 5-FU was also given to the patient. With these postoperative adjuvand therapies, the patient is doing well without any signs of recurrence, as of 2 years and 3 months after the operation.

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