Small bowel obstruction due to caecal tumour

Case contributed by Dr Ian Bickle

Presentation

Short history of abdominal distension and pain. Vomiting.

Patient Data

Age: 65-70 years old
Gender: Male
Modality: CT

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.

Case Discussion

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.

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Case Information

rID: 50392
Case created: 3rd Jan 2017
Last edited: 21st Jan 2017
Tag: rdgh
Inclusion in quiz mode: Included

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