Abstract
Six cases of malignancy (3 ovarian, 1 endometrial, 1 cecal, and 1 breast) were collected in which upper gastrointestinal (UGI) examinations revealed mass effect, nodularity, flattening, and/or spiculated mucosal folds on the greater curvature of the stomach due to contiguous spread of tumor from the greater omentum. Carcinoma of the transverse colon invading the stomach via the gastrocolic ligament may produce identical radiographic findings. In 3 cases, however, barium enema (BE) examinations revealed simultaneous involvement of the transverse colon by omental tumor as well as other evidence of intraperitoneal seeding. When a UGI examination suggests gastric involvement by omental metastases or so-called omental “cakes,” a BE should be performed to demonstrate associated colonic involvement and to rule out a carcinoma of the transverse colon as the cause of these radiographic findings.
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References
Bergman F: Carcinoma of the ovary. A clinicopathological study of 86 autopsied cases with special reference to mode of spread.Ada Obstet Gynecol Scand 45:211–231, 1966
Julian CG, Goss J, Blanchard K, Woodruff JD: Biologic behavior of primary ovarian malignancy.Obstet Gynecol 44:873–884, 1974
Levitt RG, Koehler RE, Sagel SS, Lee JKT: Metastatic disease of the mesentery and omentum.Radiol Clin North Am 20:501–510, 1982
Rubesin SE, Levine MS: Omental cakes: colonic involvement by omental metastases.Radiology 154:593–596, 1985
Meyers MA, McSweeney J: Secondary neoplasms of the bowel.Radiology 105:1–11, 1972
Meyers MA: Distribution of intra-abdominal malignant seeding: dependency on dynamics of flow of ascitic fluid.Am J Roentgenol 119:198–206, 1973
Meyers MA: Intraperitoneal spread of malignancies and its effect on the bowel.Clin Radiol 32:129–146, 1981
Meyers MA:Dynamic Radiology of the Abdomen. Normal and Pathologic Anatomy 2nd ed. New York: Springer, 1982, pp 55–105
Hollinshead WH:Textbook of Anatomy 3rd ed. Hagerstown: Harper & Row, 1974, pp 576–590
Kent KH: Extrinsic lesions affecting the transverse colon.Am J Roentgenol 89:779–786, 1963
Khilnani MT, Marshak RH, Eliasoph J, Wolf BS: Roentgen features of metastases to the colon.Am J Roentgenol 96:302–310, 1966
Kurzban JD, Marshak RH, Maklansky D, Lindner AE: Metastasis to the colon.Am J Gastroenterol 65:357–359, 1976
Bachman AL: Roentgen appearance of gastric invasion from carcinoma of the colon.Radiology 63:814–822, 1954
Chait H, Faegenburg DH: Illusory neoplasms of the stomach and duodenum as a manifestation of carcinoma of the pancreas.Radiology 74:771–777, 1960
Marshak RH, Lindner AE, Maklansky D:Radiology of the Stomach. Philadelphia: Saunders, 1983, pp 436–448
Levitt RG, Sagel SS, Stanley RJ: Detection of neoplastic involvement of the mesentery and omentum by computed tomography.Am J Roentgenol 131:835–838, 1978
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Rubesin, S.E., Levine, M.S. & Glick, S.N. Gastric involvement by omental cakes: Radiographic findings. Gastrointest Radiol 11, 223–228 (1986). https://doi.org/10.1007/BF02035078
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DOI: https://doi.org/10.1007/BF02035078