EURORAD ESR

Case 13042

A strange case of ascites

Author(s)
Lorenzo Carlo Pescatori1, Flaminia Cavallaro2, Pavlos Lagoussis3, Maurizio Vecchi2, 3, Francesco Sardanelli3, 4, Luca Maria Sconfienza3, 4

1 Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122 Milan, Italy
2Unit of Gastroenterology and Digestive Endoscopy, Research Hospital Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy
3 Department of BiomedicalSciences for Health, Università degli Studi di Milano, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy
4 Unit of Radiology, Research Hospital Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy
 
Patient
male, 72 year(s)
 
 
  • Figure 1
    Abnormal abdominal distension, axial plane

    Abnormal abdominal distension given by dense fluid (10-15 HU), consistent with jelly material, and thin enhancing septa (white arrowheads), with the small bowel (black arrowheads) compressed by the jelly mass

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    Abnormal abdominal distension, sagittal plane

    Sagitta view of abdominal distension, consistent with jelly material, and thin enhancing septa (white arrowheads), with compression of the small bowel (black arrowheads).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Ablation procedures; Special Focus: Neoplasia;
     
     
  • Figure 3
    Round, hypodense lesion

    A round, hypodense lesion left over the liver dome (Figure 5)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 4
    Liver and spleen

    Liver and spleen showed surface scalloping

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Tissue characterisation;
     
     
  • Figure 5
    Specimen

    The whole omentum was removed and gross inspection revealed the presence of multiple areas of necrosis (yellow arrows), associated with a number of cystic, jelly-containing masses (white arrows).

     
    Area of Interest: Abdomen; Imaging Technique: RIS; Procedure: Ablation procedures; Special Focus: Dysplasias;
     
     
  • Figure 6
    postoperative CT

    A new CT performed one month after surgery confirmed the successful removal of the whole omentum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Ablation procedures; Special Focus: Neoplasia;
     
     
Abnormal abdominal distension given by dense fluid (10-15 HU), consistent with jelly material, and thin enhancing septa (white arrowheads), with the small bowel (black arrowheads) compressed by the jelly mass
 
Sagitta view of abdominal distension, consistent with jelly material, and thin enhancing septa (white arrowheads), with compression of the small bowel (black arrowheads).
 
A round, hypodense lesion left over the liver dome (Figure 5)
 
Liver and spleen showed surface scalloping
 
The whole omentum was removed and gross inspection revealed the presence of multiple areas of necrosis (yellow arrows), associated with a number of cystic, jelly-containing masses (white arrows).
 
A new CT performed one month after surgery confirmed the successful removal of the whole omentum.
 
 
 
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