PMC3335362_01
a CT scan with rectal contrast showing the malignant lesion with apple-core appearance in the sigmoid colon (arrow). b Colonoscopic view of the colon showing numerous polyps of variable sizes.
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F1
A computed tomography (CT) scan with intravenous and rectal contrasts showed a mass in the sigmoid colon with typical apple-core appearance suggestive of carcinoma (fig. 1a). Colonoscopy revealed multiple polyps of variable sizes in the colon consistent with FAP (fig. 1b), and a circumferential malignant stricture was noted 28 cm from the anal verge.
Operative specimen showing multiple polyps throughout the colon. The cancer-bearing sigmoid colon (arrow) was left intact for proper histological staging.
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F2
The patient underwent elective RP and IPAA (fig. 2) with a diverting ileostomy.
Doppler ultrasonography showing the portal vein with a thrombus (arrows).
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F3
Abdominal ultrasonography and Doppler scan (fig. 3) showed PVT for which she was treated with anticoagulant therapy.