Colonic adenocarcinoma

Case contributed by Dr Servet Kahveci

Presentation

Non specific abdominal pain

Patient Data

Age: 75 years
Gender: Male
Ultrasound

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.

CT

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.

Annotated image

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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Case information

rID: 65270
Published: 6th Jan 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

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