PMC7457591_01
CT images at initial diagnosis. (A and B) The whole abdominal CT indicate the lower intestine obstruction and thickening of the splenic flexure.
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On the 30th of July 2017, the patient was diagnosed with an acute intestinal obstruction, with the abdominal CT scan indicating obstruction of the lower intestine and thickening of the splenic flexure (Figure 1).
(A) CT images after 6 cyles chemotherapy. (B) CT images when the disease progressed.
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An abdominal CT scan evaluation showed that the disease was stable and remained stable after the completion of the mFOLFOX6 chemotherapy regimen (Figure 2A). On April 23 2018, the level of CA199 was significantly higher than before, and the abdominal CT scan suggested the presence of multiple nodules in the greater omentum and peritoneum, peritoneal effusion, and tumor progression (Figure 2B).