Synchronous colorectal carcinoma

Case contributed by Dr Bruno Di Muzio

Presentation

Patient presents in the emergency department with signs of subileus.

Patient Data

Age: 63
Gender: Male

Abdome CT - Emergency Department

Modality: CT

Clearly the abrupt thickening and thinning of the colonic caliber in splenic angle of the colon. Regional lymph nodes enlarged and faint blurring of fat around.

In the upstream of the occlusive point there is distention of loops of small intestine and colon.

Because of the colonic distention is little evident the thickening and vegetating lesion right colon.

Diagram illustrative of the findings

Modality: Diagram

Because of the colonic distention is little evident the thickening and vegetating lesion right colon.

Case Discussion

Synchronous tumors are said to have both on the diagnosis or surgery, discarding obviously the possibility of injury due to proximity.

The patient underwent surgery that confirmed on the intraoperative palpation the lesion in the right colon. The patient underwent total colectomy and the pathological diagnosis was adenorcarcinoma.

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Case Information

rID: 18658
Case created: 17th Jul 2012
Last edited: 8th Sep 2015
Inclusion in quiz mode: Included

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