Colorectal carcinoma (rectosigmoid)

Case contributed by Dr Varun Babu

Presentation

Haematochezia with colonoscopy revealing a rectosigmoid growth.

Patient Data

Age: 70 years
Gender: Female

Approximately 15cm proximal to the anal verge is a non circumferential transmural thickening of rectosigmoid with transerosal spread. Two pelvic deposits, one on either side of afflicted colon is seen with loss of fat planes with both adnexae. Mild pericolonic free fluid. 

A 20 mm hypodense lesion is seen in segment V of liver. 

Case Discussion

Example of colorectal primary neoplasm that has spread across the full thickness of the wall, growing deposits in the mesentery, engulfing both adnexae. The portal spread is identified in the form of a right hepatic deposit. 

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Case information

rID: 57357
Case created: 20th Dec 2017
Last edited: 30th Jan 2018
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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