A Rare Case of Primary Peritoneal Psammocarcinoma Presenting as Acute Intestinal Obstruction and Ascites

  • Bushra Siddiqui Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Shahbaz Habib Faridi Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Mohammad Naim Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Tausia Nasreen Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Danish Hushain Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Senthil P Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
Keywords: Peritoneal Psammocarcinoma, Intestinal obstruction, Ascites

Abstract

We report a rare case of primary peritoneal psammocarcinoma (PPP) in a 60year old female patient who presented to surgical emergency with complaints of inability to pass feces and flatus for last 3 days along with pain and distension of abdomen. On clinical examination there were features of acute intestinal obstruction. Contrast CT of abdomen was suggestive of intestinal obstruction along with a stricture at the recto-sigmoid junction. On exploration there was a growth compressing the recto-sigmoid junction from the serosal surface. Anterior resection of the recto-sigmoid was done with negative gross margins. Histopathological examination of the resected specimen led to a diagnosis of primary peritoneal psammocarcinoma because of a solitary peritoneal lesion having abundant psammoma body formation and normal ovaries visualized on radiology and per-operatively. The diagnosis was further confirmed by histochemical tests and immunohistochemistry along with normal CA-125 levels in the patient.

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Author Biography

Mohammad Naim, Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

We report a rare case of primary peritoneal psammocarcinoma (PPP) in a 60year old female patient who presented to surgical emergency with complaints of inability to pass feces and flatus for last 3 days along with pain and distension of abdomen. On clinical examination there were features of acute intestinal obstruction. Contrast CT of abdomen was suggestive of intestinal obstruction along with a stricture at the recto-sigmoid junction. On exploration there was a growth compressing the recto-sigmoid junction from the serosal surface. Anterior resection of the recto-sigmoid was done with negative gross margins. Histopathological examination of the resected specimen led to a diagnosis of primary peritoneal psammocarcinoma because of a solitary peritoneal lesion having abundant psammoma body formation and normal ovaries visualized on radiology and per-operatively. The diagnosis was further confirmed by histochemical tests and immunohistochemistry along with normal CA-125 levels in the patient.

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Published
2016-03-20
How to Cite
1.
Siddiqui B, Faridi SH, Naim M, Nasreen T, Hushain D, P S. A Rare Case of Primary Peritoneal Psammocarcinoma Presenting as Acute Intestinal Obstruction and Ascites. Int Arch BioMed Clin Res [Internet]. 2016Mar.20 [cited 2019Nov.13];2(1):32-5. Available from: https://iabcr.org/index.php/iabcr/article/view/228