Abstract

Question: A 25-year-old Eritrean woman was admitted with a 4-week history of abdominal pain and weight loss of 10 kg without diarrhea and without a family history of neoplasia. Physical examination was significant for mild tenderness over the right abdomen. Hemoglobin was decreased with 96 g/L (reference range, 120–160 g/L) and C-reactive protein elevated at 114 mg/L (reference value, <8 mg/L) with a normal white cell count. A contrast-enhanced computed tomography scan of the chest and abdomen showed a polypoid hyperdense intraluminal mass measuring 25 mm in the ascending colon (Figure A) without metastases.

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