A 70-year-old female patient with a previous history of hysterectomy and adnexectomy presented with a large pelvic mass. CA-125 was obtained and was found to be elevated (240 U/mL). CEA and CA19-9 were within normal limits (11 U/mL and 2.1 ng/mL, respectively). Computed tomography (CT) of the abdomen and pelvis with oral and intravenous contrast revealed a diffuse, nodular, ill-defined infiltrating mass with innumerable calcifications in the greater omentum filling the peritoneal cavity suggesting peritoneal carcinomatosis (Fig 1). There was infiltrative involvement of the mesentery of the small bowel and transverse and sigmoid colon's with perivascular encasement and thickening of the wall of the sigmoid colon (Fig 2). Ultrasound needle-guided biopsy revealed fat necrosis without evidence of malignancy. Flexible sigmoidoscopy was performed and revealed narrowing of the sigmoid colon 35 cm from the anal verge.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The systemic amyloidoses.N Engl J Med. 1997; 337: 898-909
- Diagnosis and treatment of primary amyloidosis.Crit Rev Oncol Hematol. 1995; 19: 149-181
- Deposition of amyloid in the gastrointestinal tract.Gut. 1969; 10: 98-104
- Diffuse retroperitoneal amyloidosis: further radiological observations.Br J Radiol. 1991; 64: 469-471
Published online: February 28, 2008
Accepted: December 11, 2007
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.