Woman 68 yo with abdomen distension and pain.
Ultrasound scan detected ascites with pelvic mass ( US images) suspected
peritoneal carcinomatosis.
CT scan of abdomen with CE with radiologist
report was peritoneal carcinomatosis,
unknown primary cancer (CUP).
Blood tests: raised CEA and CA-125 markers.
Abdomen tap removed gelatineous fluid that analysis of this fluid no
cancer cell revealed.
Laparoscopy biopsy of peritoneal vegetation reported mucinous carcinoma.
Discussion: In this case of 68 yo female ascites like jelly, CT and ultrasound cannot detected ovary tumor. Blood tests pointed CEA very high in comparison to CA-125. The most common cause is from rupture of appendiceal.carcinoma and spreading intraperitoneum.
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