J Korean Radiol Soc.  1979 Jun;15(1):220-229. 10.3348/jkrs.1979.15.1.220.

Radiologic evaluation of peritoneal carcinomatosis

• Suh CH
• Kim GE
• Choe KO
• Park CY

• KMID: 2349369
• DOI: http://doi.org/10.3348/jkrs.1979.15.1.220

Abstract

Radiologic changes in plain abdominal films as well as barium contrast studies of small and large bowels are reviewed in pathologically proven 53 cases of peritoneal carcinomatosis at Severance Hospital during last five years. A study of these patients reveals multiplicity of roentgen findings which, though not pathognomic, may behighly diagnostic. The common distinctive features are broad-based nodular filling defects along the mesenteric border, no overhanging edge and fixed transverse or radiating, angulated or crowded mucosal folds with restricted distensibility and extensibility and the most important, the absence of the mucosal ulceration until the latestage, When the lesion ulcerates or become circumferential, the differentiation from the intestinal tuberculosis and a primary carcinoma may be impossible. Another characteristic findings to exclude primary carcinoma from presenting Blummer's shelf is displacement and indentation the anterior aspect of the rectum with presenting Blummer's shelf is displacement and indentation the anterior aspect of the rectum with preservation of the presacral space, And also serosal changes in midportion of transverse and/or superior border of sigmoid colonassociated with ascites may be highly suggesstive of peritoneal carcinomatosis.

MeSH Terms

Ascites
Barium
Carcinoma*
Colon, Sigmoid
Humans
Rectum
Tuberculosis
Ulcer
Barium