Ascites and incomplete small bowel obstruction

Case contributed by Francis Fortin
Diagnosis almost certain

Presentation

Known metastatic ovarian cancer. Rule out small bowel obstruction.

Patient Data

Age: 60 years
Gender: Female

Abdominal X-Ray

x-ray

Compared with the previous study (not included), there is diffuse intraperitoneal increased density indicating ascites in this patient with known peritoneal carcinomatosis secondary to ovarian cancer.

There are also air-fluid levels and a dilated small bowel up to 40 mm, strongly suggestive of small bowel obstruction.

Finally, there are bilateral pleural effusions with a chest tube on the right.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.