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Omental cake

Case contributed by Chia Wei Oh
Diagnosis almost certain

Presentation

Diffuse abdominal pain and constipation. Background of colorectal carcinoma.

Patient Data

Age: 60 years
Gender: Female

CT abdomen

ct

Extensive metastatic disease with multiple lung, liver and peritoneal metastases. Ascites is also present. Noted significant omental caking.

Case Discussion

Omental metastatic disease can be difficult to identify early on, as it often appears as small nodules. Once advanced, as in this case, the diagnosis is fairly obvious. 

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