Colonic tumor with metastases

Case contributed by Dr Ammar Haouimi

Presentation

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

Patient Data

Age: 45 years
Gender: Female
CT

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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Case information

rID: 65875
Published: 3rd Feb 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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