Incidental cecal tumor

Case contributed by David Holcdorf
Diagnosis almost certain

Presentation

Hematuria.

Patient Data

Age: 90 years
Gender: Male
ct

The bladder is thick walled and trabeculated likely due to chronic outlet obstruction. No concerning upper or lower urinary tract lesion is present.

There is, however, irregular mass-like mural thickening in the cecum which demonstrates post-contrast enhancement, concerning for a cecal tumor.

Case Discussion

The cecal tumor (confirmed on subsequent CT colonography) in this case was completely incidental to the patient's presentation and highlights the importance of "running the bowel" visually in every abdominal CT.

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