Case 324

Clinical history

Male patient, 59 years old, presenting weight loss with gradual increase of the abdominal volume and uncharacteristic abdominal pain in the past 3 years, without alteration of the intestinal habit. At the physical examination: patient in good conditions, with muscle loss in the upper and lower limbs and voluminous ascites (grade 3). Paracentesis revealed gelatinous and mucinous ascites at the cytologic examination. Increase of CEA and Ca19-9 was found in the laboratory tests. Abdominal and pelvis CT was requested.

Considering the clinical history and the provided images, what is the most likely diagnosis?

Test Question

(Selective Process - Plastic Surgery Medical Residency INCA/2016) - Which one is the best alternative that defines Pseudomyxoma peritonei?

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