Gastric adenocarcinoma with omental cake

Case contributed by Mohammadtaghi Niknejad
Diagnosis almost certain

Presentation

Workup for abdominal pain and progressive distension.

Patient Data

Age: 45 years
Gender: Female

Asymmetrical and irregular increased wall thickness due to tumoral infiltration in the anterpinferioraspect of the distal gastric body and proximal of the antrum accompanied by massive abdominopelvic ascites with omental thickening are seen.

Case Discussion

Pathology-proven gastric adenocarcinoma with ascites and omental caking.

Omental cake refers to the infiltration of the omental fat by the soft-tissue density deposits and is often accompanied by malignant ascites. The most common cause is metastases from ovarian, gastric, or colon cancer, although tuberculous peritonitis, lymphoma, malignant peritoneal mesothelioma and pseudomyxoma peritonei may also give similar appearance.

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