Answer of September 1998

Clinical History:

M/64. Per rectal bleeding for 1 month with weight loss.

Figure 1 Barium enema
Figure 2 CECT pelvis
Figure 3 CECT pelvis

What is your diagnosis?

                            Figure 1                                                                    Figure 2

                            Figure 3                                                                    Figure 4

Diagnosis:

G.I. LYMPHOMA ( ENDOEXO ENTERIC FORM ) WITH COLO-ENTERIC FISTULA

Discussion:

Figure 1 Barium enema showed fistulous communications between sigmoid colon and terminal ileum.

Figure 2 & 3 CECT showed cavitating solid intraabdominal mass filled with GI contrast and air with matted bowel loops.

Figure 4 Colonoscopic biopsy confirmed malignant lymphom, diffuse large cell type. Resected speciment of matted bowel loops.