Table 1 Relevant medical details
Medical history | 1. Hypertension for about 10 years, with the highest blood pressure of 180/100 mmHg |
2. Cerebral infarction for 10 years with no obvious sequelae | |
3. Coronary heart disease for about 1 year | |
Major complaints | 1. Fever and fatigue for 1 week with the highest body temperature of 39.4 °C |
2. Bloody stool, abdominal distention, and decreased exhaustion and defecation 1 month earlier | |
3. The abdominal distention increased gradually during recent 1 month | |
Physical examination | 1. Pale eyelids, thickened breath sounds of both lungs, and a drum sound in the abdomen through abdominal perfusion |
2. A 5 cm × 5 cm sized mass could be touched in the left abdomen with mild tenderness | |
Biochemical examination | White blood cells (29.3 × 109/L, normal: 3.5–9.5 × 109/L); carbohydrate antigen 125 (CA125, 49.3 U/mL, normal: 0–35 U/mL); hemoglobin (75 g/L, normal: 115–150 g/L) |
Computer tomography (CT) | Bilateral pleural effusion, pericardial effusion, pelvic fluid, and an irregularly thickened wall of the descending colon |
Colonoscopy | An ulcerative tumor in the descending colon, which invaded the wall of the descending colon circularly |