Transverse colon cancer with fistula to duodenum and gallbladder

Case contributed by Dr Vikas Shah


Abdominal pain, weight loss and anaemia

Patient Data

Age: 70 years
Gender: Male

Large enhancing mass with irregular margins involving proximal transverse colon, with fistula to adjacent duodenum and gallbladder. Tracks with gas between mass and duodenum and gallbladder, with additional findings of gas in the gallbladder and intrahepatic biliary tree, confirm fistula.

Incidental findings of an atrophic left kidney with left renal artery ostial stenosis, and bilateral calcified pleural plaques.

Case Discussion

Fistulation into another organ confers a T stage of T4 for this colonic adenocarcinoma.

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Case information

rID: 56068
Published: 9th Oct 2017
Last edited: 10th Oct 2017
Inclusion in quiz mode: Included

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