Methods
For a clearer diagnosis, laboratory tests were conducted, and
the results indicated an elevated white blood cell count at 14 × 10^3
per L, with the normal range being 4.0–10.8 × 10^3 per L. This
elevation was primarily due to neutrophilia. Furthermore, her hemoglobin
level was slightly low at 11 mg/dL, compared to the typical range of
12–16 g/dL. Her albumin level was also below the normal, registering at
3.1 g/dL, where the standard range is between 3.4 and 4.8 g/dL.
Imaging examinations provided further insights into her condition. A CT
scan displayed a substantial mass originating from the caecum and
extending to the transverse colon as shown in Figure 2 .
This mass measured 13x10x13 cm and had multiple air locules noted along
the posterior lateral wall of the ascending colon mass. This mass
extended towards the hepatic flexure and opened into the subcutaneous
plane. A colonoscopy further revealed a large ulcerated growth in the
transverse colon, causing a narrowing of the lumen. This made it
difficult for the scope to be advanced proximally. A biopsy of this
growth confirmed the diagnosis of adenocarcinoma of the colon
Expert opinion was taken and the patient was planned for an exploratory
laparotomy with extended right hemi colectomy and en bloc resection as
shown in Figure 3 . Biopsy showed poorly differentiated
mucinous adenocarcinoma, tumor extended beyond muscularis propia and
perforated serosa with positive lymph node findings. Post operatively
patient was sent to oncology for chemotherapy.