case_images: PMC9825237_01
case_images: Multiple erythematous brownish skin patches and palpable mass at epigastric area.
case_images: rjac610f1.jpg
case_images: PMC9825237_01_rjac610f1.jpg
case_images: f1
case_images: A physical examination revealed multiple erythematous brownish skin patches and palpable mass at epigastric area (Fig. 1).
case_images: Coronal (A) and axial (B) computed tomography image of abdomen and pelvis showing transverse colon cancer with direct invasion to the rectus muscle and suspicious invasion of superior mesenteric invasion.
case_images: rjac610f2.jpg
case_images: PMC9825237_01_rjac610f2.jpg
case_images: f2
case_images: She underwent computed tomography (CT), which showed focal wall thickening at the transverse colon with direct invasion to the rectus muscle and subcutaneous fat layer of the anterior abdominal wall (Fig. 2).
case_images: Tumor invaded or was adherent to the duodenum and superior mesenteric vein.
case_images: rjac610f3.jpg
case_images: PMC9825237_01_rjac610f3.jpg
case_images: f3
case_images: We found tumor invading or being adherent to the duodenum and superior mesenteric vein (Fig. 3).
case_images: Dilated jejunal first branch of superior mesenteric vein (red arrow).
case_images: rjac610f4.jpg
case_images: PMC9825237_01_rjac610f4.jpg
case_images: f4
case_images: We also found that jejunal first branch was very dilated due to obstruction (Fig. 4).
case_images: Appearance after en-bloc resection.
case_images: rjac610f5.jpg
case_images: PMC9825237_01_rjac610f5.jpg
case_images: f5
case_images: We performed completion right hemicolectomy with duodenal segmental resection, SMV resection and anastomosis (Fig. 5).