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  1. Home
  2. Cases

Malignancy of Rectosigmoid

By Dr.Pavan Kumar In GASTROINTESTINAL Posted October 23, 2018

Patient History : discomfort lt side abd. wt loss 14kg body pain. chr hep b +. dyspepsia.
Gender:Male
Age:87 Y

-           NG in situ.
-           Short segment, ~30mm in length circumferential wall thickening with enhancement seen in the recto sigmoid region. Single maximum wall thickness measures ~ 11mm.
-           Perilesional fat stranding seen. Small regional lymph nodes are seen measuring ~ 4mm
-           There is dilatation of the proximal colonic loops and mid distal ileum.
-           Mild ascites seen.
-           Bilateral mild pleural effusion seen with basal atelectasis. Minimal pericardial effusion.
-           Bilateral small inguinal hernia, fluid seen in the right inguinal hernia.


Ø  Neoplastic Recto sigmoid region stricture with dilatation of the proximal colonic loops and ileal loops, peri lesional fat stranding and small regional lymph nodes.
Ø  Mild ascites and bilateral mild pleural effusion.
Ø  Bilateral small inguinal hernia.
Prostatomegaly. 

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