Unusual cause for peritoneal calcification - PowerPoint Presentation

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Unusual cause for peritoneal calcification

DM

Pai

S

Srinath

Scunthorpe General Hospital

North Lincolnshire

History

Cholecystectomy was booked for 65

yr

old female.

Extensive peritoneal calcification was noted at surgery and the operation was abandoned.

Patient had no other symptoms.

Minor peritoneal calcification was noted in the CT scan performed 4 years earlier but was attributed as non-specific.

The findings had worsened over 4 years on retrospective interrogation.

No past history of abdominal injury or haematoma

Not on peritoneal dialysis and no h/o abdominal TB.

Dense calcification of the peritoneum in the anterior abdomen

Pelvic peritoneal calcification

DIAGNOSIS????

CT guided biopsy of the peritoneal calcification was performed.

Psammoma

carcinoma of the ovary with peritoneal metastases

Psammomacarcinoma ovary

Psammomacarcinoma

are rare serous neoplasm of ovary

and peritoneum

These contain

psammoma bodies which give rise to

the high density and hence appearances of calcification.These have favourable prognosis when compared with other ovarian malignancies.Peritoneal calcific lesions are usually due to benign conditions but when extensive should raise the possibility

of psammomacarcinoma and hence biopsy is essential.

Learning point

Apparent calcification of the

pritoneum

is not always benign or related to previous infections and dialysis.

Biopsy will have to be considered as highlighted in this case.