PMC6260234_01
Top. At the lower aspect of the abdominal incision the parietal peritoneum is opaque indicating an infiltration by cancer. The loop of small bowel at the lower aspect of the abdominal incision shows a seromuscular layer infiltrated by the mucinous adenocarcinoma. Bottom. This loop of bowel shows numerous infiltrative cancer implants within the seromuscular layer. A dense infiltration of the cancerous process is layered out on the mesentery of this loop of small bowel.
gr1.jpg
PMC6260234_01_gr1.jpg
fig0005
Surgery revealed a contiguous infiltration of both parietal and visceral peritoneum by mucinous adenocarcinoma with no obvious sites of intestinal obstruction (Fig. 1).
PMC6260234_02
CT from March 1, 2018 shows extensive ascites with small bowel clumped from mesenteric retraction by cancer.
gr2.jpg
PMC6260234_02_gr2.jpg
fig0010
In March 1, 2018, CT scans showed extensive ascites with tethering of the small bowel within the pelvis (Fig. 2).