A 55 yr old male presented with complaints of gradual distension of abdomen. On palpation, abdomen was soft but a hard area palpable in epigastrium.On routine ultrasound found to have hyperechoic jelly like fluid in abdominal cavity. USG guided ascitic cytology revealed mucinous carcinoma. A CT scan revealed omental cake with thickening in appendicular area with deposits along both paracolic gutters, subdiaphragmatic region & pelvis. Endoscopies were performed to rule out any primary tumour in stomach or colorectal region.
CEA was 8. The patient was then counselled for exploratory laparotomy with systematic cytoreductive surgery including extensive peritonectomy & bowel resections followed by hyperthermic intraperitoneal chemotherapy (HIPEC). Patient withstood the procedure well inspite of long hour surgery and discharged after 18 days without any postop complications. Final histopath…
