Supplementary Material for: Long Term Treatment of Unresectable Pseudomyxoma Peritonei with multiple treatments of Intratumoral Bromelain and Acetylcysteine (BromAc): a case report

Pseudomyxoma peritonei (PMP) is a rare peritoneal malignancy characterised by the progressive accumulation of mucinous material and tumour within the abdomen and pelvis. Percutaneous drainage of mucin may be a non-surgical option for relief of symptoms, however it remains difficult due to the high viscosity of mucin, with numerous case reports reporting difficulty removing material through medium-bore catheters alone. BromAc is a therapy currently undergoing development which dissolves mucinous tumour masses and allows for extraction. This report describes the case of a patient who has had multiple treatments with BromAc over four years.