Malignant ascites (ovarian)

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
CT

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. 

PlayAdd to Share

Case information

rID: 57476
Published: 28th Dec 2017
Last edited: 28th Dec 2017
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.