Repeat extraperitoneal cesarean section on a woman with pseudomyxoma peritonei

Minimally Invasive Cesarean Section - Extraperitoneal Cesarean Section. The Outcomes of Applying to the Same Patient More than Once. Case Series

BACKGROUND

Extraperitoneal caesarean section (EPCS) provides intraoperative and postoperative advantages to patients compared to transperitoneal (TPCS). Nevertheless, it is less preferred.

METHODS

Extraperitoneal caesarean section (EPCS) is a type of caesarean section performed without entering the peritoneal cavity.

RESULTS

In this study, EPCS was successfully performed again in patients who had previously undergone EPCS.

CONCLUSION

This method, which reduces maternal mortality and health expenditures, can be performed more than once.

Management of peritoneal pseudomyxoma in Pregnant Women: A case report and review of the literature

The incidence of neoplasia during pregnancy is low, 1/1000 pregnancies. The most common cancers diagnosed during pregnancy are breast and cervical cancer. Pseudomyxoma peritonei (PMP) is a rare syndrome (1/1 000 000) characterized by the presence of gelatinous ascites and disseminated intra-peritoneal mucinous tumors. The origin of this syndrome is, in most of cases, a tumor of the appendix. A PMP diagnosis during pregnancy is an extremely rare event. We present the medical history of a 34-year-old woman diagnosed with a PMP at 29 weeks of amenorrhea, during the management of an ovarian masse. We preserved the pregnancy until 37 weeks of amenorrhea. She had a vaginal delivery. At 4 weeks post-partum, she had an extensive cytoreduction with intraperitoneal chemotherapy. We present literature review of PMP discover during pregnancy and a discussion about treatment of these PMP. We also discuss management of an ovarian masse diagnosis during pregnancy.