PMC9982373_01
Hemicolectomy specimen.
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As the tumor was inoperable, patient was started on neo-adjuvant chemotherapy with FOLFOX to make it resectable. After cycle 1, patient got admitted with distal small bowel obstruction with transition point at the mass and underwent emergent right hemicolectomy with 30 cm ileal resection and primary anastomosis (Figure 1).
Axial slice of CT Abdomen and Pelvis with oral and IV contrast showing soft
tissue inflammation in the right lower quadrant.
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Contrast-enhanced CT abdomen and pelvis showed wall thickening of the cecum and proximal ascending colon with pericecal inflammation extending into right iliopsoas and abdominal wall musculature with no discrete abscess (Figure 2).
Sagittal reconstruction of CT Abdomen and Pelvis with oral and IV contrast
showing enterocutaneous fistula.
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However, an enterocutaneous fistula developed at the tumor site eventually and patient opted for hospice care (Figure 3).