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61 y.o. man with bright red blood per recturm (hematochezia) and iron deficiency anemia.
Gross blood in stool
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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.
Colon cancer until proven otherwise.
Less likely lymphoma, metastatic disease, amebiasis, stricture.
Colon Cancer adenocarcinomaDiagnosis Confirmed by: Surgery - Histology showed invasive moderately differentiated adenocarcinoma
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The Department of Radiology and Radiological Sciences
Uniformed Services University
Bethesda, Maryland 20814.