Last Chance! Half price offer on our two latest online courses is about to end REGISTER NOW

Small bowel obstruction - due to cecal tumor

Case contributed by Dr Ian Bickle


Distended abdomen.

Patient Data

Age: 70 years
Gender: Male

The small bowel is distended throughout to the level of the ileocecal valve.  Enhancing mass in the cecum, which is covering and obstructing the ileocecal valve, in keeping with a colorectal malignancy.

Several adjacent pericolic lymph nodes.  No distant metastatic disease.

Case Discussion

Colorectal carcinoma is one of the commonest tumors worldwide.  Its is more common in the distal colon, especially the sigmoid colon.  Tumors on the right side can become large before symptomatic.  

Patients presenting with bowel obstruction from colonic tumors usually have a large bowel obstruction, but in this case the tumor is covering the ileocecal valve resulting in a small bowel obstruction.

Common sites of metastases, including local lymph nodes, as well as the liver and lungs - see colorectal cancer staging.

PlayAdd to Share

Case information

rID: 21496
Published: 27th Jan 2013
Last edited: 1st Jul 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.