Journal of Clinical Case Reports

Jakob Graves Rønk Dinesen

Publications

• Case Report
  The Appearance of Hemostatic Fleece on Different Imaging Modalities: A Case Report
  Author(s): Jakob Graves Rønk Dinesen, Katrine Fuglsang, Gitte Ørtoft Lykkegaard, Lone Kjeld Petersen and Margit DueholmJakob Graves Rønk Dinesen, Katrine Fuglsang, Gitte Ørtoft Lykkegaard, Lone Kjeld Petersen and Margit Dueholm
  
  We report a case where hemostatic fleece (TachoSil) was misinterpreted as residual disease on imaging after macro-radical surgery for ovarian cancer. Laparotomy was performed on a 51 year-old woman due to ovariancancer. At surgery, carcinomatosis was identified on the diaphragm with growth intothe diaphragmatic muscle. Total hysterectomy, bilateral salpingooophorectomy, omentectomy, pelvic and paraaortic lymphadenectomy, diaphragmatic peritonectomy, appendectomy and resection of sigmoid colon were performed. During surgery an incidental small liver lesion occurred and hemostatic fleece was applied for hemostasis. Total cytoreduction was achieved. The pathology report demonstrated stage IV serous ovarian cancer (grade III). The patient was therefore referred to the Department of oncology for six series of Paclitaxel/Carboplatin. A baseline CT scan revealed an area above the liver initi.. Read More»
  DOI: 10.4172/2165-7920.1000711

  Abstract PDF