Introduction: Pseudomyxoma peritonei is a rare pathology requiring, accord
ing to international recommendations, multidisciplinary management in a
specialized center. The aim of our work was to assess the difficulties of this
care in our context through the analysis of two cases managed in Ouagadou
gou. Observations: In the first observation, this was a 60-year-old, male pa
tient, who was diagnosed with a pseudomyxoma peritonei grade I according
to the WHO two years after the onset of symptoms. He benefited from cytore
ductive surgery and two sessions of adjuvant chemotherapy. Due to lack of
sufficient financial resources, he had to interrupt his chemotherapy and died
in 2023. For the second observation, it was a 51-year-old, female patient, where
the diagnosis of pseudomyxoma peritonei secondary to ovarian and appen
dicular mucinous cystadeno-carcinoma was retained five months after the on
set of symptoms. She underwent cytoreductive surgery with oophorectomy,
appendectomy, hysterectomy removing the left ovary and adjuvant chemo
therapy courses. The development has been favorable. Conclusion: Pseudo
myxoma peritonei remains a very rare pathology in our context, often with
diagnostic delay and treatment difficulties. They could be somewhat attenu
ated by establishing a framework for reflection and management of this type
of pathology adapted to our realities.

Africa, Ascites, Ouagadougou, Burkina Faso, Pseudomyxoma Peritonei