Ascites & cholelithiasis

    5 y.o. child after abdomen surgery intervention, in the reanimation block, ultrasound assigned for suspected low quadrants abdomen mass.

    At ultrasound in the left pelvis area about 10 ml of free fluid with debris and moveable linear masses. In the upper left abdomen region empty intestine loops(perforation?).

    In the gallbladder on the posterior wall hyperechoic mass with acoustic shadowing(stone?)

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    At one of the webinars on ultrasound of extragenital pathology, I saw a case with a similar echo pattern of echogenic lesions (serosal deposits)

    And that was a case of pseudomyxoma, which the author of the webinar suggested to differentiate with peritoneal carcinomatosis.

    Time code 5:51

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