MedPix® Patient Chart - Case No: 8044 :: Imaging - Review Images

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History

Age: 61 :: Gender: man

Patient History

61 y.o. man with bright red blood per recturm (hematochezia) and iron deficiency anemia.

Exam


Physical Exam and Laboratory

Gross blood in stool
Fe Deficiency


Imaging

Imaging - Review Images for PT: 8044

Findings


Summary of Findings

Solid column enema (gastrografin) shows fairly long segment smooth narrowing within the proximal to mid sigmoid.

Contrast enhanced CT shows circumferential wall thickening in the same location with associated infiltration of the subjacent mesenteric fat.


Imaging

Imaging - Review Images for PT: 8044

Diffferential


Differential Diagnosis

Colon cancer until proven otherwise.
Less likely lymphoma, metastatic disease, amebiasis, stricture.


Imaging

Imaging - Review Images for PT: 8044

Diagnosis


Diagnosis

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References and Supporting Materials

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:: PT: 8044 :: :: 3 questions

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Case Contributor and Editor
Submitted by: James M McKee - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: :: Revised: 2013-05-17 11:44:21.626842-04 :: Submitted:
COW: 222 :: CME Start: 20050116 :: CME End: 20110417 :: CME Review Due: 20121113 :: Reviewer: 2
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