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.