Presentation
General fatigue and loss of weight over last 6 months. Iron deficiency anemia.
Patient Data
Age: 76
Gender: Female
From the case:
Splenic flexure cancer with omental caking
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Extensive omental soft tissue infiltrate is present in the left abdomen. A stenosing mass is also noted in the splenic flexure, with no upstream colonic distension.
Further peritoneal nodules are demonstrated adjacent to the liver, indenting the dome and just posterior to the caudate. No definite hepatic parenchymal lesions.
Conclusion:
Splenic flexure mass is suspicious for carcinoma, with extensive omental caking and peritoneal metastases.
Case Discussion
Confirmed at surgery.
Colorectal cancer is known to metastases to the peritoneum. One manisfestation of peritoneal carcinomatosis is omental caking, which is seen in this case.
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