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Intraperitoneal metastasis to the rectosigmoid junction, sigmoid colon and greater omentum, with subsequent contiguous spread of greater omental metastases to the transverse colon, in this case due to ovarian carcinoma. | Dx by:

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MedPix™ 3504 Image Title: Film 2
Plane: :: Modality: || ACR Codes: 7.
In Films .1 and .2, there is asymmetric narrowing of the splenic flexure of the colon with spiculation of its superior border and sacculation of the inferior border. There is mild extrinsic mass impression on the superior border of the splenic flexure. The mucosa is smooth, though pleated (arrows in Film .2). In the sigmoid colon (Films .1 and .3) there is also pleating of the colonic mucosa as the mucosa is thrown into smooth, parallel transverse folds. The sigmoid contour is angulated in several places, and the luminal diameter is narrowed.
Case Diagnosis: Intraperitoneal metastasis to the rectosigmoid junction, sigmoid colon and greater omentum, with subsequent contiguous spread of greater omental metastases to the transverse colon, in this case due to ovarian carcinoma. :: By:
Open/Close Caption and Credits - Caption and Credits :: Case 3126 - Figure 614 |

Intraperitoneal metastasis to the rectosigmoid junction, sigmoid colon and greater omentum, with subsequent contiguous spread of greater omental metastases to the transverse colon, in this case due to ovarian carcinoma. ::

Original Source: Frederick M. Kelvin, MD
Submitted by: Gastrointestinal Learning File - © ACR - Click for Author Information
Affiliation: ACR Learning File®
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