"Apple core" colonic adenocarcinoma with obstruction and fecalization

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal distension.

Patient Data

Age: 60 years
Gender: Male

Massive dilation and fecalization of the large bowel and distal small bowel, with a transition point at the splenic flexure soft tissue mass with apple-core configuration. Low attenuation mass in the caudate lobe.

Case Discussion

Late presentation of obstructive "apple-core" adenocarcinoma of the splenic flexure, which has resulted in substantial dilation and fecalization of the large bowel and distal small bowel. There is a single lesion in the caudate lobe that is suspicious for metastasis.

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