HomeClinicalAbdominal pain in a patient with squamous cell carcinoma of oropharynx

Abdominal pain in a patient with squamous cell carcinoma of oropharynx

    Author: Axel Küttner, MD, Erlangen, Germany
    Body Region: Abdomen and Pelvis

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient Presentation

    • A 69-year-old woman was treated in our institution for recurrent squamous cell carcinoma of the
      oropharynx.

    • During the hospital stay, she complained of worsening abdominal discomfort and absence of bowel
      movements for 5 days.

    • Physical examination and laboratory testing revealed a slightly tender abdomen, subfebrile
      temperatures, elevated C-reactive protein, leukocytosis and minimally elevated lactate.

    • Abdominal ultrasound and plain film radiography revealed an ileus and right basal pneumonia.
    • A CT examination was ordered.