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ORIGINAL RESEARCH article

Front. Surg.
Sec. Colorectal and Proctological Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1484812

Appendiceal low-grade pseudomyxoma peritonei recurrence with splenic metastasis invasion and parastomal hernia

Provisionally accepted
Qi Liu Qi Liu Jie Jiao Jie Jiao Guanying Yu Guanying Yu Peiming Guo Peiming Guo Chengzhen Li Chengzhen Li *
  • Jinan Central Hospital, Jinan, China

The final, formatted version of the article will be published soon.

    Recurrence of low-grade appendiceal pseudomyxoma peritonei (PMP) with splenic metastasis invasion and parastomal hernia is exceptionally rare. We present a 47-year-old female with recurrent PMP, four years post-cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). She presented with abdominal distension, splenic metastasis invasion, and parastomal hernia. Imaging revealed extensive peritoneal and pelvic metastases, splenic lesions, and parastomal hernia. Intraoperative findings confirmed widespread pseudomyxoma, involving the spleen and diaphragm. She underwent CRS, splenectomy, tumor resection, adhesiolysis, partial colectomy, hernia repair, and diaphragmatic reconstruction, followed by intraoperative HIPEC. Despite postoperative complications, the patient recovered well with no recurrence over 20 months. This case underscores the challenges of managing recurrent PMP with splenic metastases and parastomal hernias, highlighting the importance of multidisciplinary collaboration and personalized therapeutic strategies.

    Keywords: PMP, CRS, HIPEC, Splenic invasion metastasis, Parastomal hernia 1. Introduction

    Received: 22 Aug 2024; Accepted: 08 Nov 2024.

    Copyright: © 2024 Liu, Jiao, Yu, Guo and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chengzhen Li, Jinan Central Hospital, Jinan, China

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