Synchronous colorectal carcinoma

Case contributed by Dr Bruno Di Muzio

Presentation

Patient presents in the emergency department with signs of subileus.

Patient Data

Age: 65-years
Gender: Male
CT

CT Abdomen and pelvis (selected images)

There is small and large bowel obstruction due to narrowing a narrowing point at the splenic flexure of the colon, where there are wall thickening and associated stranding and prominent lymph nodes. The upstream distension of the colon reveals a mass lesion in the right colonic flexure, also suspicious for malignancy. ​

Diagram

Diagram illustrative of the findings

Arrows pointing the colonic flexure abnormalities.

Case Discussion

Synchronous tumours 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 both lesions to be malignant. Total colectomy was performed and the pathological diagnosis was adenocarcinoma.

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Case information

rID: 18658
Published: 17th Jul 2012
Last edited: 30th Apr 2018
Inclusion in quiz mode: Included

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