Presentation
Middle aged man presented with recent change in bowel habits and mild tenderness in right iliac fossa.
Patient Data
There is well defined hypodense mildly heterogenously enhancing lesion predominantly exophytic lesion is noted arising from the left leateral wall of cecum 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/hemorrhage 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 cecum mimics acute appendicitis
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