Small bowel obstruction due to caecal tumour
Short history of abdominal distension and pain. Vomiting.
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The small bowel is fluid filled and distended down to the terminal ileum. Enhancing caecal mass extending 2 cm through the ileocaecal valve into the terminal ileum.
Large bowel collapsed.
Several low attenuation lesions in the liver, suggestive of metastases.
No perforation or collection.
Laparotomy was undertaken with a histologically proven colonic adenocarcinoma invading into the terminal ileum.
The colonic tumour extending into and covering the ileocaecal valve is the cause of a high grade distal small bowel obstruction.