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Abdomen and retroperitoneum | 1.7 Peritoneum mesentery and omentum
Case 1.7.5 Mesenteric and peritoneal metastases


Peritonitis carcinomatosa with peritoneal implants and loculated ascites caused by multiple adhesions

Peritoneal implants
ID: /43525-Afbeelding1.jpg
Peritoneal implants
ID: /43526-Afbeelding2.jpg


Ascites
ID: /43527-Afbeelding3.jpg
Ascites
ID: /43528-Afbeelding4.jpg


Loculated ascites around the spleen
ID: /43529-Afbeelding5.jpg
Loculated ascites around the spleen
ID: /43530-Afbeelding6.jpg


Loculated ascites around the spleen
ID: /43531-Afbeelding7.jpg
No ascites in Douglas pouch. The bladder is nearly empty
ID: /43532-Afbeelding8.jpg


Peritonitis carcinomatosa with peritoneal implants and loculated ascites caused by multiple adhesions

Loculated ascites around the liver
ID: /43533-Afbeelding9.jpg
Loculated ascites around the liver
ID: /43534-Afbeelding10.jpg


Ascites between the bowell loops
ID: /43535-Afbeelding11.jpg
Loculated ascites
ID: /43536-Afbeelding12.jpg


There are also hyperechoic liver metastases

ID: /43537-Afbeelding13.jpg
ID: /43538-Afbeelding14.jpg


ID: /43539-Afbeelding15.jpg
ID: /43540-Afbeelding16.jpg


Peritonitis carcinomatosa with peritoneal implants and loculated ascites caused by multiple adhesions

Videoclip
ID: /43541-3435063_20111213_ABDOMEN-__0064.swf
Videoclip
ID: /43542-3435063_20111213_ABDOMEN-__0065.swf


The CT scan made a week after the ultrasound examination shows free peritoneal air caused by a perforation. The patient was operated but could not be helped because of the multiple adhesions and extensive tumor deposits

CT
ID: /43620-peritonitis_carc_1.swf
CT
ID: /43544-peritonitis_carc_2.swf


CT
ID: /43545-peritonitis_carc_3.swf
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