Small bowel obstruction due to cecal tumor

Case contributed by Ian Bickle
Diagnosis certain


Short history of abdominal distension and pain. Vomiting.

Patient Data

Age: 65-70 years old
Gender: Male

The small bowel is fluid filled and distended down to the terminal ileum.  Enhancing cecal mass extending 2 cm through the ileocecal 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 tumor extending into and covering the ileocecal valve is the cause of a high grade distal small bowel obstruction.

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