PMC9534663_01
(a) Computed tomography (CT) imaging of the pelvis at the time of presentation and needle biopsy of omental caking. (b) Diagnostic laparoscopy showing innumerable tan, 1-2 mm nodules on the surface of the right ovary and uterus. (c) Diagnostic laparoscopy showing innumerable tan, 1-2 mm nodules on the anterior abdominal wall.
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fig1
CT with contrast of the abdomen and pelvis showed a moderate volume of free fluid throughout the abdomen with diffuse nodularity throughout the omentum, enlarged right retroperitoneal lymph nodes measuring 1.4 and 1.2 cm in the short axis diameter, and a bilobed right ovarian cyst measuring 6.5 cm at maximum diameter (Figure 1(a)). Upon inspection, there was diffuse studding of intraperitoneal surfaces with 1-2 mm tan nodules, and the omentum was adherent to the anterior abdominal wall (Figures 1(b) and 1(c)).