An 88-year-old male presented with abdominal pain and fever with chills. He had a medical history of atrial fibrillation, hypertension, obesity, hyperlipidemia, chronic kidney disease, left ventricular hypertrophy, aortic and mitral valve disease and benign prostatic hyperplasia. Physical examination Temperature - 101.5°F A palpable tender mass in right lower quadrant Laboratory examination Leukocytosis - 20,800 cells/mL Hemoglobin - 10.8 g/dL CT scan images have been provided. Exploratory laparotomy was performed and a foul-smelling fluid in the peritoneal cavity was encountered.
A dusky, large cecal tumor was observed which was covered with fibrinous exudate. There was no overt focal perforation. Right hemicolectomy was performed and the tumor was found to be lobulated with a white-gray surface, invading into the terminal ileal wall. Immunohistochemistry was done and the tumor was…
