Malignant ascites of ovarian origin

Case contributed by Dr Varun Babu

Presentation

Progressive abdominal distension with loss of appetite. Ultrasound revealed gross ascites.

Patient Data

Age: 50 years
Gender: Female

Gross ascites with peritoneal deposits in the undersurface of right hemidiaphragm, along the phrenic margin of spleen, layers of omental caking, chunks of peritoneal deposits in right iliac fossa and pouch of Douglas. Poorly marginated and bulky appearing right ovary. 

Case Discussion

The extensive peritoneal deposits with omental caking in a female patient with gross ascites should always raise the suspicion of a primary ovarian or gastrointestinal neoplasm. The irregularly marginated bulky right ovary might be the source of tumor spread in this patient. 

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