Obstructive ileocecal adenocarcinoma

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Nausea, vomiting.

Patient Data

Age: 70 years
Gender: Female

CT Abdomen and pelvis

ct

Ill-defined mass at the ileocecal junction resulting in small bowel obstruction. Adjacent abnormal ileocolic lymph nodes. Right pelvic urinary bladder diverticulum.

Case Discussion

Ileocecal mass (specifically adenocarcinoma, in this case, which was confirmed with biopsy and treated with right hemicolectomy) is an important cause of small bowel obstruction. Carefully evaluate the adjacent ileocolic lymph nodes for abnormal size, lobulated contour, or abnormal enhancement to support a malignant cause of obstruction.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.