Case Presentation: A 54-year-old woman with a history of uterine fibroids developed six weeks of progressive abdominal swelling and unintentional weight loss. Initial supportive care at an outside clinic failed to relieve symptoms. A month later, abdominal CT scan demonstrated extensive peritoneal carcinomatosis with bulky retroperitoneal adenopathy, moderate intra- and extrahepatic ductal dilatation, featureless pancreas, [...]