PMC9885852_01
(A) The increased abdominal circumference. (B) Chest computed tomography revealed an elevated diaphragm. (C,D) Abdominal computed tomography revealed multiple cystic solid mass and nodular soft tissue density.
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F1
Trendelenburg. The abdominal circumference was high to 115 cm (Figure 1A). Chest computed tomography revealed an elevated diaphragm and lungs were compressed (Figure 1B), and multiple cystic solid mass and nodular soft tissue density shadows were seen in abdominal cavity and pelvic cavity, with unclear boundaries and internal separations (Figures 1C,D).
The ascitic fluid of the patient.
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F2
The surgeon created a small incision for paracentesis. 11,000 ml of ascitic fluid was drained in 30 min (Figure 2).
The diseased or metastasized tissues.
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F3
CRS was continued for about 3.5 h and about 5 kg of diseased or metastasized tissues were removed (Figure 3).
Chest x-ray revealed a normal position of diaphragm.
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F4
Hb was decreased from 9.6 g/dl at the beginning to 8.5 g/dl at the end of the surgery.The patient was transferred to intensive care unit (ICU) after the operation. x-Ray of Chest revealed the elevated diaphragm was descended at a normal position (Figure 4).