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Axial CT portal phase study with oral contrast revealed:
- caecal ischaemia
- metastatic liver lesions
- spiculated mesenteric partially calcified soft tissue mass (later proven to be carcinoid), causing occlusion of the right colic artery
The coronal images reveal the right colic artery and vein to be passing in to and occluded by, the carcinoid tumour. This results in the ischaemic caecum seen in the right iliac fossa.