PMC4679213_01
Laparoscopic image of implants in the Douglas pouch.
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figure1
An exploratory laparoscopy was performed, in which multiple cysts in the form of 'a bunch of grapes' were observed occupying the omentum (Figures 1, 2 and 3).
Laparoscopic image of multiple peritoneal implants in the Douglas pouch.
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figure2
An exploratory laparoscopy was performed, in which multiple cysts in the form of 'a bunch of grapes' were observed occupying the omentum (Figures 1, 2 and 3).
Laparoscopic image of multiple peritoneal implants at the level of the omentum.
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figure3
An exploratory laparoscopy was performed, in which multiple cysts in the form of 'a bunch of grapes' were observed occupying the omentum (Figures 1, 2 and 3).
Surgical piece of the omentum.
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figure4
It was decided to convert the surgery to a laparotomy with omentectomy and ablation of all of the peritoneal implants without residual macroscopic tumours (Figure 4).