Ileocecal adenocarcinoma with intussusception
Citation, DOI & case data
Abdominal pain and concern for mass
Loading Stack -
0 images remaining
Very large ileocolic intussusception with an irregular, lobulated mass at the cecal base. Appendix is dilated but not inflamed. Numerous enlarged ileocolic lymph nodes about the intussusceptum.
Operation: Right hemicolectomy, mesenteric lymph node resection, primary anastomosis.
- Low grade mucinous adenocarcinoma of the cecum invading into the subserosal adipose tissue and appendiceal wall
- All lymph nodes benign
Dramatic presentation in a younger patient. However, the differential for an ileocecal mass remains: adenocarcinoma, lymphoma, carcinoid, and GIST.
Amazingly, the lymph nodes were all negative for disease when the hemicolectomy was performed, and were likely enlarged due to congestion and inflammation.
1 article features images from this case
13 public playlists include this case
- Thirsty Birds - GI by SM ◉
- FRCR 2B 4 by Dr Sherif Mohsen
- Primary gastrointestinal tumors by Dr Michael P Hartung ◉
- Efilm2016(1) by Dr Hassan Shoushtari Zadeh ◉
- Ileocolic intussception-adult by Ibraheem Mohammad Hydar
- small bowel by Dr Neel Gore
- Clásicos by Jheyson Javier Barrios Pereira
- Abdo VIVA by Dr Michael Le ◉
- VC PART II GI GU WARM-UP CASES by Dr Vinicius Carraro do Nascimento
- Intussusception by Dr Michael P Hartung ◉
- Bowel cases by Dr Sherif Mohsen
- abdomen by Dr Bența Marius
- invag by Cintia Climente