Colon perforation

Case contributed by Dr David Cuete

Presentation

Suspected acute abdomen

Patient Data

Age: 60
Gender: Female

CT abdomen and pelvis

Modality: CT

Multiple hypodense focal liver lesions suggestive of  secondary infiltration and retroperitoneal lymphadenopathy. Presence of mesenteric free air  and fluid surrounding the sigmoid colon. Stomach distension, intestine and colon contain liquid. 

Thickening of the rectosigmoid, most likely due to a colorectal tumour.

Pancreas, spleen, kidneys and adrenal glands of normal appearance.

Case Discussion

Signs suggestive of bowel perforation with intra-abdominal air. The appearances of the liver and para-aortic regions, are in keeping with a tumoural perforation.

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Case Information

rID: 22849
Case created: 28th Apr 2013
Last edited: 15th Dec 2015
Inclusion in quiz mode: Excluded

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