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Colonic tumor with metastases

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Altered bowel habit, weight loss, distended abdomen, and palpable pelvic mass.

Patient Data

Age: 45 years
Gender: Female

There is a circumferential irregular wall thickening with luminal narrowing of the descending colon,  with infiltration of the pericolic fat, and presence of pericolic and para-aortic lymphadenopathy up to 14 mm. Huge ascites with peritoneal implants. Bilateral ovarian mass measuring 11 cm on the right and 16 cm on the left (Kruckenberg), compressing the right lower ureter with ureterohydronephrosis. Moderate right pleural effusion is noted with no lung metastasis on lung window (not shown).

A small splenic cyst is noted as well as a nodule of the left thyroid lobe.

Case Discussion

CT features are suggestive of a left colonic tumor with peritoneal and ovarian (Krukenberg) metastases.

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