© Springer-Verlag London Ltd 2010
Received: 12 October 2009
Accepted: 22 January 2010
Published: 23 March 2010
Diffuse peritoneal infiltration (omental cake) occurs most commonly as secondary to intraperitoneal tumor spread. Other less common causes of the peritoneal infiltration include inflammatory conditions such as tuberculosis, Crohn’s disease, phlegmonous pancreatitis, granulomatous enterocolitis, benign disease (desmoid fibroma, extramedullary hematopoiesis, and hemoperitoneum), and malignant disease entities . An omental cake is classically associated with ovarian carcinoma, but it may also be seen with carcinomatosis and lymphomatosis, mesothelioma, primary peritoneal serous carcinoma, tubal carcinoma, and rarely, cholangiocarcinoma . A computed tomography (CT) scan is an effective method for detection of peritoneal disease. CT images along with CT-guided or laparoscopically assisted biopsy of the peritoneal core is required for a definite diagnosis of the disease entities.
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