PMC5818954_01
Initial CT scan upon presentation (a, b) with uterine fibroids (white arrow) and minimal free fluid (black arrow). CT scan four days after admission with worsening ascites (c, d).
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Initial CT scan showed uterine masses, consistent with known fibroids, and minimal pelvic fluid (Figure 1). A repeat CT scan on hospital day four showed interval development of ascites (Figure 1).
Diagnostic laparoscopy findings: inflamed peritoneum with densely adhered gallbladder to liver (a); fibrinous exudate throughout the peritoneal cavity (b); gelatinous ascites (c).
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She was taken for a diagnostic laparoscopy, which revealed a dense fibrinous exudate and significant ascites in all four quadrants of the abdomen (Figure 2).
CT scan nine days after surgery with persistent ascites and peritoneal enhancement.
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A repeat CT scan obtained nine days after surgery (Figure 3) showed peritoneal enhancement and several fluid collections.