Omental "cake" /peritoneal metastasis .

Diagnosis

Omental "cake" /peritoneal metastasis .

Diagnosis

Omental "cake" /peritoneal metastasis .

History

Abdominal distension 77 yo female.

Findings

Clump of peritoneal disease amongst the ascites mid abdomen.
Peritoneal enhancement.

Discussion

Learning tips – always find the transverse colon so you don’t mistake disease for TC. No soft tissue between colon and anterior abdo wall.
Diffuse parietal perit enhancement, consistent with disease and a focal nodule perforating rt perit into fat in pelvis

Lesion growing into GB – or possibly growing out. Not sure if this could be GB Ca

Key points

Learning tips – always find the transverse colon so you don’t mistake disease for TC. No soft tissue between colon and anterior abdo wall.

References

Dr Kirsten Gormly expert comments.