PMC5453505_01
CT Scan at time of presentation showing colonic dilatation and cecal mass.
nihms843663f1.jpg
PMC5453505_01_nihms843663f1.jpg
F1
CT scan was performed and showed a large cecal mass with cecal dilatation, abnormal thickening of the ileocolic junction, and enlarged mesenteric lymph nodes (Figure 1). CEA at this time was 24ng/mL.
Nearly obstructing cecal mass involving the Ileocecal valve.
nihms843663f2.jpg
PMC5453505_01_nihms843663f2.jpg
F2
The following day she underwent colonoscopy that demonstrated a large near-complete obstructing mass of the cecum near the ileocecal valve (Figure 2).
PET/CT (4/9/2012). There is a low attenuation focus in the spleen measuring 32 mm x 12 mm that was not clearly demonstrated on prior study. This focus is associated with increased metabolic activity and has an SUV value of 11.1, which is concerning for metastatic spread of tumor.
nihms843663f3.jpg
PMC5453505_01_nihms843663f3.jpg
F3
A few months later, at followup a PET/CT revealed low attenuation focus in the spleen with a standardized uptake value (SUV) of 11.1 (Figure 3).