PMC3295377_01
CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).
CRIM2012-340947.001.jpg
PMC3295377_01_CRIM2012-340947.001.jpg
fig1
CT scan of abdomen showed intussusception of small bowel and thickening of right colon (Figure 1).
Colonoscopy revealed a circumferential fungating mass in the ascending colon measuring 4 cm in length.
CRIM2012-340947.002.jpg
PMC3295377_01_CRIM2012-340947.002.jpg
fig2
Subsequently, colonoscopy revealed a circumferential fungating mass in the ascending colon measuring 4 cm in length (see Figure 2).
Histopathology of colon biopsy at high power field reveals malignant cells (a). Histopathology of ileum biopsy reveals metastatic malignancy (b). Gross histology revealed a metastatic ileal deposit as a lead point of intussusception (c).
CRIM2012-340947.003.jpg
PMC3295377_01_CRIM2012-340947.003.jpg
fig3
Intraoperative findings were diffuse peritoneal and mesenteric metastatic studding, large extraluminal right colon cancer, and ileoileal intussusception in midileum with lead point metastatic deposit (see Figure 3). The surgical pathology was reported as moderate to poorly differentiated signet ring cell mucinous adenocarcinoma in proximal ascending colon with serosal and lymphovascular invasion (see Figure 3).