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Ines Capitan del Rio, Ana Isabel Rueda López, Jose María CapitánVallvey
Peritoneal carcinomatosis secondary to prostate cancer is extremely rare, especially in the absence of bone metastasis, with three cases published to date.
We present an 87-year-old man with a personal history of benign prostate hypertrophy under treatment with tamsulosin, who underwent urgent surgery for an acute abdomen. An urgent abdominal CT also revealed a possible right ureteral tumor with grade 3 right ureterohydronephrosis; aortoiliac, retrovesical and Para rectal idiopathic conglomerates; enlarged prostate (BPH/tumor); no bone lesions. Intraoperative, acute perforated diverticulitis and a millimeter nodule were found in the parietal peritoneum of the pelvis. Hartmann’s intervention and biopsy of said nodule were performed. The patient evolved satisfactorily, proceeding to hospital discharge on the 10th day.