Intestinal obstruction secondary to peritoneal carcinomatosis
Updates to Case Attributes
Around 25% of patients with digestive cancersgastrointestinal cancer will develop in the evolution of their disease a peritoneal carcinomatosis. Bowel obstructionis is also a common complication of digestive cancersgastrointestinal cancer. theThe treatment of an intestinal obstruction in a patient with peritoneal carcinomatosis is based onincludes decompression with a nasogastric aspirationtube, IV rehydration,intravenous fluids and surgery if the general condition allowedsometimes operative management.
Cutaneous and subcutaneous metastases can may come from haematogenous or lymphatic spread or may result from seeding from a surgical procedure (as is most likely in this case).
-<p>Around 25% of patients with digestive cancers will develop in the evolution of their disease a <a href="/articles/peritoneal-metastases">peritoneal carcinomatosis</a>. <a href="/articles/bowel-obstruction">Bowel obstruction </a>is also a common complication of digestive cancers. the treatment of an intestinal obstruction in a patient with peritoneal carcinomatosis is based on nasogastric aspiration, IV rehydration, and surgery if the general condition allowed. </p><p><a href="/articles/cutaneous-and-subcutaneous-metastases">Cutaneous and subcutaneous metastases</a> can come from haematogenous or lymphatic spread or may result from seeding from a surgical procedure (as most likely in this case).</p>- +<p>Around 25% of patients with gastrointestinal cancer will develop <a href="/articles/peritoneal-metastases">peritoneal carcinomatosis</a>. <a href="/articles/bowel-obstruction">Bowel obstruction</a> is also a common complication of gastrointestinal cancer. The treatment of an intestinal obstruction in a patient with peritoneal carcinomatosis includes decompression with a nasogastric tube, intravenous fluids and sometimes operative management.</p><p><a href="/articles/cutaneous-and-subcutaneous-metastases">Cutaneous and subcutaneous metastases</a> may come from haematogenous or lymphatic spread or may result from seeding from a surgical procedure (as is most likely in this case).</p>
Updates to Study Attributes
DistendedThere are distended jejunal and proximal ileal loops and a small bowel obstruction with a transition point at the level of the subumbilical region is seen. EnhancedMultiple enhancing masses of the abdominal/pelvic wall are seen extending along the midline scar as well as right rectus abdominis, extending into the intraperitoneal space and infiltrating the adjacent ileal loops at the level of the subumbilical region. From there theThe distal ileal loops show segmental dilatation interspersed of segmentalwith stenosis with. The colon is collapsed. There is a collapsed colon. Note also a similar soft tissue mass of the left abdominal wall at the previous scar of colostomycolostomy site.
The liver shows a small hypodense metastatic noduleshypodensities in the segments IVb/V and smallV and a biliary cyst in the segment IVa.
Multiple peritoneal and mesenteric nodules encasing the ileal loops at the pelvic region as well as nodular omental thickening with mild intraperitoneal effusion, indicating peritoneal carcinomatosis is seen.
A soft tissue mass is noted in the left ovary (ovarian metastasis).
. Small mesorectal lymph nodes are noted as well asnoted. A recto-vaginal fistula well-visualized on both axial and sagittal sequencesis also noted.