Omental cake

Case contributed by Dr Praveen Jha

Presentation

Diffuse abdominal pain with abdominal distension

Patient Data

Age: 55 years
Gender: Female
CT

Diffuse heterogenous enhacing soft tissue lesion is seen studded over omentum. Gross ascites is seen, with bilateral adnexal mass lesions and liver metastases.

Case Discussion

In view of omental caking and bilateral adnexal masses, possible Krukenburg's tumour and secondary omental deposits was sought. However, no gastric or intestinal mass lesion could be visualized. Endoscopy was also done, which did not reveal any mass lesion. CA-125 was raised, so possible left ovarian mitotic etiology is being considered as possibility. However, patient is not willing for any biopsy at present.

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Case information

rID: 16608
Case created: 2nd Feb 2012
Last edited: 15th Jan 2016
Inclusion in quiz mode: Included

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