Tranverse colon cancer with fistula to stomach

Case contributed by Dr Vikas Shah

Presentation

Abdominal pain, weight loss and anaemia

Patient Data

Age: 70 years
Gender: Male
CT

CT abdomen and pelvis

Enhancing mass with irregular outer margins involving the splenic flexure of the large bowel with fistula formation to adjacent stomach. The fistula track is fluid filled but there is no free gas to suggest perforation.

Case Discussion

Invasion and fistula formation confers a T stage of T4 for this colonic adenocarcinoma.

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Case information

rID: 56069
Case created: 9th Oct 2017
Last edited: 10th Oct 2017
Inclusion in quiz mode: Included

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