Omental cake

Case contributed by Dr Taryn Roya Kalami

Presentation

1 month history of progressive abdominal distension. Referred to the radiology department for an abdominal ultrasound.

Patient Data

Age: 75 years
Gender: Female
Ultrasound

Ultrasound confirms abdominal ascites with an omental cake. Biopsies for a histological diagnosis were taken at the time of the ultrasound assessment. 

Case Discussion

Ultrasound is a useful tool in diagnosing diffuse peritoneal malignancy. Omental caking is commonly described on CT but subtle changes on ultrasound may be overlooked.

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