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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 58-year-old man presented with a history of blood on the stool and in the toilet. Past history was non-contributory. Vital signs were normal and Hct was 44. Rectal exam was normal and rigid sigmoidoscopy revealed blood coming from above. Bleeding scan revealed no active source of bleeding. The patient was stable and was bowel prepped for colonoscopy. Colonoscopy revealed a large exophytic lesion filling the cecum below the iliocecal valve. Biopsy revealed tubulovillous adenoma.
A D V E R T I S E M E N T
A CT scan was performed to assess for locoregional and distal spread. There was one enlarged lymph node (arrow) identified adjacent to the cecum. The central ulceration in the cecal mass is filled with contrast. There was no evidence of liver or peritoneal involvement.
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A D V E R T I S E M E N T
The patient was taken to the operating room for right hemicolectomy. Exploration was normal except for enlarged pericecal mesenteric nodes. The cecum containing the tumor mass is shown. There was no gross transmural disease. The appendix showed evidence of early inflammation.
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This page was last modified on 8/13/2002.
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