Sigmoid colon adenocarcinoma with hepatic metastases

Case contributed by Bahman Rasuli
Diagnosis almost certain


Bleeding per rectum. Colonoscopy in keeping with a sigmoid colon tumor.

Patient Data

Age: 40 years
Gender: Male

Circumferential irregular wall thickening of the sigmoid colon with a length of about 9 cm, luminal stenosis and transserosal spread.

Associated 25 x 35 mm sigmoid mesocolic deposit with two to three subcentimetric pericolonic lymph nodes.

No signs of other distant abdominal metastases.


After six months


Resection of the sigmoid loop and colorectal anastmosis.

The liver contains a number of low attenuation ill-defined heterogeneously-enhancing focal lesions in both liver lobes with continuous marginal enhancement. The largest is seen in the right lobe measuring 15 x 25 mm.

Case Discussion

This unfortunate case demonstrates a pathologically proven well-differentiated adenocarcinoma in a young patient. Follow up CT 6 month later also revealed hepatic metastasis.

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.