27 November 2020
: Case report
Multiple Primary Malignancies of the Colon, Stomach, and Kidney in a Patient with Bowel Obstruction Requiring Emergency Surgery: A Case Report
Rare coexistence of disease or pathology
Kholoud H. AlBaqmi1ABDEFG*, Faisal A. AlMudaiheem1ABDEFG, Sami Boghdadly1ABDEFG, Khadijah A. AlHussaini2D, Nada Shokor3D, Nourah AlOudah3DDOI: 10.12659/AJCR.926472
Am J Case Rep 2020; 21:e926472
Figure 1. (A–C) Selected sagittal (A) and Axial (B) computed tomography scans of the upper abdomen with intravenous contrast in the portosystemic venous phase and oral contrast in our patient, who presented with suspected bowel obstruction. The images show focal circumferential narrowing of the descending colon at the splenic flexure, resulting in an “apple core” appearance that is pathognomonic for colonic adenocarcinoma (green arrow) and leads to high-grade bowel obstruction.