PMC2847379_01
Abdominal X-ray (A) showing a soft-tissue mass with no calcification, on the right flank and mesogastrium, with inferior deviation of the bowel. Abdominal US (B) demonstrates a hypoechoic stenosing mass (curved arrow) measuring about 7.7 centimeters at greatest diameter, in the right colon. Enlarged mesenteric lymph nodes were also identified (arrows). CT of the abdomen (C) confirmed the presence of an infiltrating tumor, slightly enhanced by the contrast media (curved arrow), extending from the cecum to the hepatic flexure on the right colon wall, causing bowel lumen reduction and irregularity (black arrow). The adjacent meso and abdominal wall were also involved.
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fig1
An abdominal X-ray showed a soft-tissue mass with no calcification, on the right flank and mesogastrium, with inferior deviation of the bowel (Figure 1A). Enlarged mesenteric lymph nodes were also identified (Figure 1B).  Mesenteric hypodense masses that might correspond to neoplastic implants were observed (Figure 1C).
Surgery images. Tumor on the ascendant colon wall, extending from the cecum to the hepatic flexure.
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fig2
The patient underwent a right hemicolectomy, with an end-to-end anastomosis between the ileum and the transverse colon (Figure 2).