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Incidental colonic mass with peritoneal involvement in a patient with intermittent right-sided abdominal pain

    Author: Daniela Capece, Marta Zerunian, Damiano Caruso. Rome, Italy.
    Body Region: Abdomen and Pelvis

    1. Patient Presentation
    2. CT Images
    3. Additional images
    4. Diagnosis
    5. References
    CT image showing cecal wall thickening with conglobated lymphadenopathy

    1. Patient Presentation

    • A 65-year-old man presented complaining of progressive abdominal distension, early satiety, and intermittent right-sided abdominal pain for the past few weeks. He reported an unintentional weight loss of approximately 6 kg in the previous two months and occasional nausea. Bowel movements had become irregular, alternating between constipation and loose stools, with no overt rectal bleeding.
    • Blood test showed an elevated C-reactive protein, mild anemia (hemoglobin 10.5 g/dL), and a mildly increased carcinoembryonic antigen.
    • A contrast-enhanced CT of the abdomen and pelvis was performed to evaluate a suspected abdominal mass.
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