Presentation
Non specific abdominal pain
Patient Data
Asymmetric colonic wall thickening at ascending colon - hepatic flexure junction.
Note the dilatation of proximal colonic segment and normal distal colonic wall.
CT examination was recommended due to suspicion of colon cancer.
On CT examination; asymmetric colonic wall thickening at ascending colon - hepatic flexure junction.
Note the dilatation of proximal colonic segment.
Subsequent colonoscopy and biopsy revealed colon adenocarcinoma.
Asymmetric colonic wall thickening at ascending colon - hepatic flexure junction (yellow arrows).
Note the dilatation of proximal colonic segment (red arrows) and normal distal colonic wall (white arrows).
Case Discussion
Abdominal ultrasound is a commonly used imaging modality for assessment of abdominal pain. Detailed sonographic examination of the colon may identify a focal mass or asymmetric wall thickening consistent with colon cancer.
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