80-year-old female with abdominal fullness

Brian M. Trotta, MD, University of Virginia Department of Radiology, Charlottesville, VA

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Summary:

An 80-year-old female with a history of unknown malignancy presents with worsening abdominal fullness and pain.


Q. What is the most likely diagnosis?




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2 Comments

  • Sometimes it may be tough as both result in ascites, and peritoneal carcinomatosis can sometimes scallop the edges of solid organs. Peritoneal carcinomatosis tends to have soft tissue deposits along the peritoneum as well as the omentum, so careful inspection of those structures is useful in differentiation.

  • I thought it was peritoneal carcinomatosis. How can I differentiate one and other.

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