Ultrasound guided biopsy of the right hypochondrial mass was performed, where the possibility of neuroendocrine tumor was considered.

Immnunohistochemistry report was positive for Pan CK, Synaptophysin and chromogranin, which confirmed the diagnosis of neuroendocrine tumor.

She underwent laparotomy and total gastrectomy with an uneventful postoperative recovery. 

Neuroendocrine tumors with omental deposits is quite uncommon. This can occur via transmesothelial or translymphatic route, though these tumors are more prone to produce hematogenous metastasis.