Presentation
Abdominal pain. Prior surgery.
Patient Data
Age: Young adult
From the case:
Lynch syndrome: duodenojejunal adenocarcinoma
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Evidence of prior abdominal surgery with no large bowel gas visible (total prophylactic colectomy). Apparent rounded soft tissue mass in the left upper quadrant.
From the case:
Lynch syndrome: duodenojejunal adenocarcinoma
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In the left upper quadrant, anterior to the renal pelvis, is a focal region of mural thickening with consistent (in a patient with known Lynch syndrome) with a DJ flexure adenocarcinoma. Note the previous colectomy.
Case Discussion
This patient has known Lynch syndrome and has had prophylactic colectomy.
Presents with DJ flexure adenocarcinoma, confirmed at laparotomy.