Omental cake

Case contributed by Varun Babu
Diagnosis certain

Presentation

Carcinoma ovary following three cycles of chemotherapy, came for tumor burden assessment.

Patient Data

Age: 50 years
Gender: Female
ct

Soft tissue thickening in omentum is seen in the infraumbilical region.A multicystic confluent mass lesion with dense solid components is seen surrounding the uterus as well as involving small bowel mesentery. 

Case Discussion

Omental caking is an example of direct tumor spread typically seen in pancreatic, ovarian or colon malignancies, appearing as soft tissue thickening involving omentum or the transverse mesocolon. 

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