Presentation
Abdominal pain and chronic constipation. Elevated ESR, CRP and liver enzymes.
Patient Data
Asymmetrical increased wall thickness due to tumoral infiltration is seen in the ascending colon, measured about 80 mm in length and 23 mm in maximum thickness, accompanied by pericolic fat stranding. Multiple enlarged mesenteric and para-aortocaval lymph nodes are also seen with a maximum SAD of 30 mm.
In addition, multiple ill-defined low-enhancing masses are seen in the liver less than 38 mm, inferring metastasis.
A 4 mm stone is seen in the gallbladder.
A 3 mm stone is evident in the lower calyx of the left kidney.
The prostate gland is mildly enlarged.
Case Discussion
Pathology-proven ascending colon adenocarcinoma with mesenteric and para-aortocaval lymphadenopathy and multiple hepatic metastases.