case_images: PMC3295377_01
case_images: CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).
case_images: CRIM2012-340947.001.jpg
case_images: PMC3295377_01_CRIM2012-340947.001.jpg
case_images: fig1
case_images: CT scan of abdomen showed intussusception of small bowel and thickening of right colon (Figure 1).
case_images: Colonoscopy revealed a circumferential fungating mass in the ascending colon measuring 4 cm in length.
case_images: CRIM2012-340947.002.jpg
case_images: PMC3295377_01_CRIM2012-340947.002.jpg
case_images: fig2
case_images: Subsequently, colonoscopy revealed a circumferential fungating mass in the ascending colon measuring 4 cm in length (see Figure 2).
case_images: Histopathology of colon biopsy at high power field reveals malignant cells (a). Histopathology of ileum biopsy reveals metastatic malignancy (b). Gross histology revealed a metastatic ileal deposit as a lead point of intussusception (c).
case_images: CRIM2012-340947.003.jpg
case_images: PMC3295377_01_CRIM2012-340947.003.jpg
case_images: fig3
case_images: Intraoperative findings were diffuse peritoneal and mesenteric metastatic studding, large extraluminal right colon cancer, and ileoileal intussusception in midileum with lead point metastatic deposit (see Figure 3). The surgical pathology was reported as moderate to poorly differentiated signet ring cell mucinous adenocarcinoma in proximal ascending colon with serosal and lymphovascular invasion (see Figure 3).