Case Of the Week (COW) 29 June 2014
Answer:
Large Bowel Obstruction due to mid transverse colon growth.
Findings:
There is dilation of Jejunal (3.3 cms) and ileal (4.7cms) loops . Caecum (8.3 cms), ascending colon proximal ascending colon also appears to be dilated. Wall thickening noted in mid transverse colon with few pericolonic nodes. Suspicious small Polypoidal lesions also noted in hepatic flexure region. The descending colon, sigmoid colon and rectum are collapsedDiscussionThe MDCT Features were suggestive of intestinal obstruction due to growth at mid transverse colon with pericolonic nodes. Patient underwent laprotomy , confirming the diagnosis. 64 SLICE MDCT provides exquiste resolution and depiction of the pathology. The transition zone of the obstruction and cause for the ostruction can be easily diagnosed.
Contributed By:
Dr. Babu Peter, Dr Srinivasaraman, Dr Suriyakumar
Consultant Radiologists, Anderson Diagnostics
Answer:
Large Bowel Obstruction due to mid transverse colon growth.
Findings:
There is dilation of Jejunal (3.3 cms) and ileal (4.7cms) loops . Caecum (8.3 cms), ascending colon proximal ascending colon also appears to be dilated. Wall thickening noted in mid transverse colon with few pericolonic nodes. Suspicious small Polypoidal lesions also noted in hepatic flexure region. The descending colon, sigmoid colon and rectum are collapsedDiscussionThe MDCT Features were suggestive of intestinal obstruction due to growth at mid transverse colon with pericolonic nodes. Patient underwent laprotomy , confirming the diagnosis. 64 SLICE MDCT provides exquiste resolution and depiction of the pathology. The transition zone of the obstruction and cause for the ostruction can be easily diagnosed.
Contributed By:
Dr. Babu Peter, Dr Srinivasaraman, Dr Suriyakumar
Consultant Radiologists, Anderson Diagnostics