Presentation
Presented with abdominal swelling in the right upper abdomen with low-grade pain for two months. He was anemic (Hb 6.9 g/dl). Abdominal ultrasound confirms a right paracolic gutter hypoechoic ill-defined mass measuring 6 cm x 6 cm.
Patient Data
Supine oblique view with normal filling of barium in the distal colons up till the hepatic flexure. Narrowing of the ascending colon lumen noted.
Case Discussion
Patient was prepared for a laparotomy had a right ileostomy, confirmed carcinoma of the right colon passed on the 6 postoperative days.
Colorectal carcinoma is among the leading causes of morbidity and mortality. It is the third commonest after lung, chest, and renal tumors in the elderly. The case presentation the age was slightly lower compared to what is known. It is more common in males than in females.
Clinical presentation: Right-sided tumors usually present with non-obstructive symptoms, as in this case. The left-sided tumors present with obstruction. Anemia is common as in this case.
Imaging: On DBCE colorectal carcinomas may manifest as plaque-like, polypoid, semi-annular, annular or carpet lesions. Some times lesions may be missed. This case Dbce Showed an annular lesion involving the right colon.
Sonography showed a right paracolic gutter mass, the rest of the organs were normal.
Conclusion: Barium enema still has a role in the diagnosis of colorectal carcinoma, when a colonoscopy could not be performed.
Unable to process the form. Check for errors and try again.