Starting on:
Jul 16, 2025
Ending on:
Jul 16, 2025
Moderator(s):
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
Jul 16, 2025
Ending on:
Jul 16, 2025
Moderator(s):
Dr.
Alex Muturi
Dr.
Venue: Dr.
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
COLORECTAL MDT
Starting on:
Jul 16, 2025
Jul 16, 2025
Ending on:
Jul 16, 2025
Jul 16, 2025
Venue:
KUTRRH
KUTRRH
Description
Case summary • JGN 72 yrs, retired policeman from Kerugoya, ECOG 1 • Presented with Altered bowel movements( 6 loose motions/day) and PR bleeding (resolved). • Referral from Kerugoya Hospital with diagnosis of Rectal ca • Colonoscopy 9/1/2025: sigmoid colon has a fungating friable, circumferential stenotic tumor arising from the Rectum about 10cm from the anal verge.
Objectives
Staging Scans:
• CT chest 14/2/2025: Negative for Mets
• MRI ABDP 03/02/2025: PELVIC MRI Circumferential wall thickening of the
sigmoid colon.
• Point of maximal thickening measures 18.38 mm at 8 o’clock position.
• The lumen is patent however narrowed.
• Extends over a segment of about 10.8 cm.
• Infiltrates the muscularis propria with extension into the peri-colonic fat and
fascia. Inferior margin of the tumor is 8.8 cm from the anal verge.
• Re-demonstration of iliac nodes, largest measures 4.2 mm in short axis on the
right.
• Right external iliac node measures 4 mm versus 11 mm previously.
Presenters
-
Dr.
Ibrahim Dahir
Dr.