Pseudomyxoma peritonei

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and swelling in a known case of ovarian cancer.

Patient Data

Age: 50 years
Gender: Female
CT

There are multiple low-attenuating mass-like lesions with loculated fluid throughout the peritoneum, omentum and mesentery, accompanied by scalloping of visceral surfaces, particularly the liver. No calcification is present.
A 12mm ill-defined hypo-attenuating lesion is noted at superior aspect of the spleen.
A few simple cortical cysts are seen at kidneys less than 20mm. 
A 60mm midline fascial defect is noted at abdominal wall that some omental fat and bowel loops herniated through it.
Degenerative changes as osteophytosis are seen at the lumbar spine.

 

Case Discussion

Features on CT scan and the extensive scalloping of the liver suggest rupture of a mucinous neoplasm resulting is pseudomyxoma peritonei

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Case information

rID: 65823
Published: 25th Jan 2019
Last edited: 26th Jan 2019
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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