From clinical complaints to radiological revelation: case study of cecal adenocarcinoma with multiorgan involvement

Abstract

Colorectal cancer (CRC) is the third most common malignancy in the world, with adenocarcinoma accounting for the vast majority of cases.  A 60-year-old male complained about the presence of a tumour like palpable mass in the right iliac region with general weakness and weight loss. Patient was eventually transferred to the oncology department for further investigations and treatment. Initial colonoscopy evaluations combined with the anatomical difficulty of visualizing the cecum.  A barium enema demonstrated narrowing at the cecum, suggestive of obstruction. Radiological imaging proved decisive in this case, revealing the full extent of local invasion and distant metastasis. Histopathological and cytological findings established the diagnosis of metastatic adenocarcinoma. This case underscores the diagnostic and therapeutic challenges associated with right‑sided colorectal cancers with late presentation, particularly cecal adenocarcinoma, which progress silently until an advanced stage. This case illustrates the importance of multi-disciplinary approach in oncology involving internal medicine for timely diagnosis and treatment.