Presentation
Work up for abdominal pain, lower gastrointestinal bleeding and chronic constipation.
Patient Data
Marked increased wall thickness due to tumoral infiltration is present in the cecum and proximal of the ascending colon, measured about 12 cm in length, causing severe colonic luminal narrowing with terminal ileal dilatation. Pericolic fat stranding and multiple enlarged regional lymph nodes with SAD less than 12 mm are also observed.
Two adjacent small cysts less than 15 mm are seen at the left liver lobe.
The prostate gland is enlarged.
Degenerative changes such as osteophytosis are seen in the lumbar spine.
The L5 vertebra is sacralized.
Grade I spondylolisthesis of L4 on L5 is present.
Case Discussion
The patient underwent a right hemicolectomy and ileocolic anastomosis, and histopathology findings confirmed adenocarcinoma.
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