Type:
Educational Exhibit
Keywords:
Abdomen, Gastrointestinal tract, Mesentery, CT, MR, PET, Comparative studies, Surgery, Diagnostic procedure, Cancer, Neoplasia, Tissue characterisation
Authors:
J. W. L. Yip; NSW/AU
DOI:
10.26044/ranzcr2019/R-0003
Background
My patient is a 65-year-old gentleman who first presented with epigastric abdominal pain. A diagnostic laparotomy which was acted on a CT Abdomen showing a small bowel mass was negative.
The patient then returned the following year with similar epigastric pain. A repeat CT Abdomen then demonstrated a large mass in the right iliac fossa while a follow up MRI Abdomen carried out 11 days later demonstrated that the same mass had moved to the left upper quadrant.
Other investigations including gastroscopy and Gastrografin small bowel series were unremarkable whilst a PET scan demonstrated that the lesion was moderately hypermetabolic. He was initially planned for a percutaneous biopsy of the mass, however, had an emergency laparotomy as he developed massive haematochezia in the meantime.