@article{3206745,
    title = "Perforated mucinous cystadenoma of the vermiform appendix: an overview in reasoning clinical decisions.",
    author = "Papadopoulos, Iordanis N. and Christodoulou, Spyridon and Kokoropoulos, Panayiotis and Konstantudakis, George and Economopoulos, Nikolaos and Leontara, Vassilia",
    journal = "BMJ Case Reports",
    year = "2011",
    volume = "2011",
    issn = "1757-790x",
    doi = "10.1136/bcr.02.2011.3902",
    keywords = "Humans, Female, Diagnosis, Differential, Magnetic Resonance Imaging, Biopsy, Aged, Tomography, X-Ray Computed, Neoplasm Staging, Ultrasonography, Appendiceal Neoplasms/*diagnosis/pathology/surgery, Appendix/pathology/surgery, Colectomy/methods, Colonoscopy, Cystadenoma, Mucinous/*diagnosis/pathology/surgery, Decision Making",
    abstract = "Recent advances in the management of appendiceal mucinous neoplasms (AMN) such as peritonectomy combined with hyperthermic intraperitoneal chemotherapy have  introduced new standards of care. However, many dilemmas are encountered in decision  making as in the following patient. A 74-year-old woman was admitted with an  appendiceal cystadenoma found in a preadmission CT scan. However, the tumour was not  documented by the in hospital investigation due to its perforation and its reduction  in size. Consequently, a series of management dilemmas were encountered that were  solved by cautious evaluation of the pre and peroperative findings. She was  submitted to a right hemicolectomy. A spontaneous perforation was suspected, but the  accurate diagnosis was documented postoperatively by histopathology. This paradigm  motivated this review which concluded that reasoning clinical decisions in the light  of recent advances and appropriate care based on the disease-stage are essential for  an optimal outcome in the management of AMN."
}