Carcinoma of caecum

Case contributed by Dr Prashant Mudgal

Presentation

Middle aged man presented with recent change in bowel habits and mild tenderness in right iliac fossa.

Patient Data

Age: 55 years old
Gender: Male
Modality: CT

 There is well defined hypodense mildly heterogenously enhancing lesion predominantly exophytic lesion is noted arising from the left leateral wall of caecum causing its resultant significant narrowing. It measures 8x 6 cm with few non-enhancing hypodense areas within----- suggestion of necrosis. 

There is mild thickening of the terminal ileum and distal ileal loop which is abutting the  inferior aspect of the lesion.

There is mild surrounding fat stranding around the lesion.

No evidence of calcification/haemorrhage noted within the lesion.

Case Discussion

The patient is on the verge of a small bowel obstruction. An early surgical intervention with removal of involved segment and anastomosis might possibly prolong survival of the patient. 

Clinically carcinoma caecum mimics acute appendicitis

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Case Information

rID: 27040
Case created: 18th Jan 2014
Last edited: 16th Feb 2017
Tag: pm
Inclusion in quiz mode: Included

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