HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Demir, M. K. Articles by Koksal, N. Search for Related Content PubMed PubMed Citation Articles by Demir, M. K. Articles by Koksal, N.

Case 98: Primary Serous Papillary Carcinoma of the Peritoneum¹

¹ From the Departments of Radiology (M.K.D.), Pathology (F.V.A.), and Surgery (N.K.), Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Received January 25, 2004; revision requested April 2; revision received April 9; accepted May 24; final version accepted June 23.

View larger version (143K): [in a new window]   Figure 1a: Transverse CT images of the (a, b) lower abdomen and (c) pelvis obtained after oral administration of 5% ioxithalamate meglumin (Telebrix Gastro; Guerbet, Aulnay-sous-bois, France) and intravenous administration of 100 mL of iohexol (300 mg of iodine per milliliter, Omnipaque; Nycomed, Oslo, Norway). In a, the omental cake (arrow) is seen in the left lower quadrant of the abdomen. It displaces adjacent loops of the large and small intestines and replaces the omentum. The mesentery is normal and without lymphadenopathy. Ascites is not seen at this level. In b (obtained at a lower level than a), lacelike omental infiltration (large arrow) is seen with irregular nodular thickening of the peritoneum (small arrow). Mesenteric fat is normal, and no enlarged lymph nodes or ascites is seen. In c, the omental cake (small arrow) and a moderate amount of ascitic fluid (*) are seen. A small left adnexal implant (large arrow) can be distinguished from the omental cake.

View larger version (138K): [in a new window]   Figure 1b: Transverse CT images of the (a, b) lower abdomen and (c) pelvis obtained after oral administration of 5% ioxithalamate meglumin (Telebrix Gastro; Guerbet, Aulnay-sous-bois, France) and intravenous administration of 100 mL of iohexol (300 mg of iodine per milliliter, Omnipaque; Nycomed, Oslo, Norway). In a, the omental cake (arrow) is seen in the left lower quadrant of the abdomen. It displaces adjacent loops of the large and small intestines and replaces the omentum. The mesentery is normal and without lymphadenopathy. Ascites is not seen at this level. In b (obtained at a lower level than a), lacelike omental infiltration (large arrow) is seen with irregular nodular thickening of the peritoneum (small arrow). Mesenteric fat is normal, and no enlarged lymph nodes or ascites is seen. In c, the omental cake (small arrow) and a moderate amount of ascitic fluid (*) are seen. A small left adnexal implant (large arrow) can be distinguished from the omental cake.

View larger version (126K): [in a new window]   Figure 1c: Transverse CT images of the (a, b) lower abdomen and (c) pelvis obtained after oral administration of 5% ioxithalamate meglumin (Telebrix Gastro; Guerbet, Aulnay-sous-bois, France) and intravenous administration of 100 mL of iohexol (300 mg of iodine per milliliter, Omnipaque; Nycomed, Oslo, Norway). In a, the omental cake (arrow) is seen in the left lower quadrant of the abdomen. It displaces adjacent loops of the large and small intestines and replaces the omentum. The mesentery is normal and without lymphadenopathy. Ascites is not seen at this level. In b (obtained at a lower level than a), lacelike omental infiltration (large arrow) is seen with irregular nodular thickening of the peritoneum (small arrow). Mesenteric fat is normal, and no enlarged lymph nodes or ascites is seen. In c, the omental cake (small arrow) and a moderate amount of ascitic fluid (*) are seen. A small left adnexal implant (large arrow) can be distinguished from the omental cake.

View larger version (146K): [in a new window]   Figure 2a: (a, b) Transverse T2-weighted fast spin-echo MR images of the pelvis (repetition time msec/echo time msec, 3500/90) reveal peritoneal soft-tissue masses that appear as multiple nodules forming a large omental cake (arrowhead) in the left side and pelvic ascites (*). Left ovarian implants appear as a surface nodularity distinct from the omental cake, with normal-sized ovaries (arrows). The left ovarian implants have signal intensities similar to those of the pelvic peritoneal omental cakes. (c) Transverse T1-weighted gadolinium-enhanced fast spin-echo MR image of the pelvis (550/14) shows peritoneal soft-tissue masses (arrows).

View larger version (144K): [in a new window]   Figure 2b: (a, b) Transverse T2-weighted fast spin-echo MR images of the pelvis (repetition time msec/echo time msec, 3500/90) reveal peritoneal soft-tissue masses that appear as multiple nodules forming a large omental cake (arrowhead) in the left side and pelvic ascites (*). Left ovarian implants appear as a surface nodularity distinct from the omental cake, with normal-sized ovaries (arrows). The left ovarian implants have signal intensities similar to those of the pelvic peritoneal omental cakes. (c) Transverse T1-weighted gadolinium-enhanced fast spin-echo MR image of the pelvis (550/14) shows peritoneal soft-tissue masses (arrows).

View larger version (127K): [in a new window]   Figure 2c: (a, b) Transverse T2-weighted fast spin-echo MR images of the pelvis (repetition time msec/echo time msec, 3500/90) reveal peritoneal soft-tissue masses that appear as multiple nodules forming a large omental cake (arrowhead) in the left side and pelvic ascites (*). Left ovarian implants appear as a surface nodularity distinct from the omental cake, with normal-sized ovaries (arrows). The left ovarian implants have signal intensities similar to those of the pelvic peritoneal omental cakes. (c) Transverse T1-weighted gadolinium-enhanced fast spin-echo MR image of the pelvis (550/14) shows peritoneal soft-tissue masses (arrows).