Omental Cake

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A term of art referring to a flattened, firm omentum diffusely involved by neoplasia—e.g., carcinoma of the colon, ovary or stomach—or, far less commonly in developed nations, tuberculosis
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Right inguinal hernia with small intestine protrusion was found, as well as ascites with peritoneal dissemination and large omental cake.
Omental cake, peritoneal nodules/lymphadenopathy, liver metastasis and pleural effusion were seen in 37,23,10 and 10 subjects respectively.
We describe a case of advanced peritoneal carcinomatosis in the form of omental cake that was missed in the annual follow up by [sup.
In the same trial; presence of disperse lymph nodes, omental thickening leading to omental cake appearance and presence of fibrotic layer surrounding omental line were detected.
While an omental cake is classically associated with ovarian carcinoma, it may be seen with carcinomatosis and lymphomatosis, mesothelioma, primary peritoneal serous carcinoma, tubal carcinoma, and, rarely, cholangiocarcinoma.
The principal CT findings of the omental cake are the presence of abnormal and thickened omentum and ascites.
An abdominal plain film and a repeat CT scan demonstrated diffuse omental cakes with air-fluid levels in the small bowel.