{"id":131,"date":"2016-11-15T21:35:32","date_gmt":"2016-11-15T21:35:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/fg\/?p=131"},"modified":"2018-09-10T11:40:07","modified_gmt":"2018-09-10T11:40:07","slug":"case-of-the-month-jelly-belly","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/fg\/2016\/11\/15\/case-of-the-month-jelly-belly\/","title":{"rendered":"Case of the month: Jelly belly?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-133\" src=\"https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b-300x300.jpg\" alt=\"85150564_b\" width=\"300\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b-300x300.jpg 300w, https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b-150x150.jpg 150w, https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b.jpg 512w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Case of the month:<\/p>\n<p>A 75 year old man presents with a 2 month history of abdominal distension and lethargy. Clinical examination demonstrates shifting dullness and investigations reveal he has a microcytic anaemia with raised tumour markers (CA19-9-208 U\/ml , CEA-88\u00a0\u00b5g\/L) \u00a0Ascitic aspiration yields a gelatinous fluid, the coronal section of his abdominal CT scan is shown above. What is the diagnosis (hint:the arrows point to the primary pathology)<\/p>\n<p>Submitted by N. Patodi<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Case of the month: A 75 year old man presents with a 2 month history of abdominal distension and lethargy. Clinical examination demonstrates shifting dullness and investigations reveal he has a microcytic anaemia with raised tumour markers (CA19-9-208 U\/ml , CEA-88\u00a0\u00b5g\/L) \u00a0Ascitic aspiration yields a gelatinous fluid, the coronal section of his abdominal CT scan [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/fg\/2016\/11\/15\/case-of-the-month-jelly-belly\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":308,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10257,1],"tags":[],"class_list":["post-131","post","type-post","status-publish","format-standard","hentry","category-fgcaseofthemonth","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Case of the month: Jelly belly? - Frontline Gastroenterology Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/fg\/2016\/11\/15\/case-of-the-month-jelly-belly\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Case of the month: Jelly belly? - Frontline Gastroenterology Blog\" \/>\n<meta property=\"og:description\" content=\"Case of the month: A 75 year old man presents with a 2 month history of abdominal distension and lethargy. Clinical examination demonstrates shifting dullness and investigations reveal he has a microcytic anaemia with raised tumour markers (CA19-9-208 U\/ml , CEA-88\u00a0\u00b5g\/L) \u00a0Ascitic aspiration yields a gelatinous fluid, the coronal section of his abdominal CT scan [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/fg\/2016\/11\/15\/case-of-the-month-jelly-belly\/\" \/>\n<meta property=\"og:site_name\" content=\"Frontline Gastroenterology Blog\" \/>\n<meta property=\"article:published_time\" content=\"2016-11-15T21:35:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-09-10T11:40:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/fg\/files\/2016\/11\/85150564_b-300x300.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Case of the month: Jelly belly?\",\"datePublished\":\"2016-11-15T21:35:32+00:00\",\"dateModified\":\"2018-09-10T11:40:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/\"},\"wordCount\":82,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/files\\\/2016\\\/11\\\/85150564_b-300x300.jpg\",\"articleSection\":[\"#FGCaseofthemonth\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2016\\\/11\\\/15\\\/case-of-the-month-jelly-belly\\\/\",\"name\":\"Case of the month: Jelly belly? 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