PMC5748081_01
CT scan showing diffuse peritoneal enhancement consistent with peritoneal carcinomatosis, 4-quadrant ascites, and slightly enlarged ovaries with solid and cystic structures. The arrow refers to the right ovary.
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In the CT scan, diffuse peritoneal enhancement, suspicious of peritoneal carcinomatosis, 4-quadrant ascites, and slightly augmented ovaries with solid and cystic structures became apparent (Figure 1).
Left ovary and Fallopian tubes with reddish-yellow deposits.
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The peritoneum showed no whitish, cancer-like deposits (Figure 2).
Foaming lavage, easily bloody after contact.
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At the end, we carried out an abdominal lavage with several liters of NaCl, during which an interesting reaction of the water in contact with the peritoneal walls was observed: it foamed (Figure 3).
Histology: chronic-active inflammation with many plasma cells and eosinophilic granulocytes.
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The biopsies showed a chronic-active inflammation with numerous plasma cells and eosinophilic granulocytes (Figure 4).