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Case Reports
. 2022 Jan 19;15(1):e245828.
doi: 10.1136/bcr-2021-245828.

Colonic adenocarcinoma presenting as monocular metamorphopsia

Kirk A J Stephenson  1 , Brian O'Tuama  2 , Ian Dooley  2 , Paul Connell  2   3
Affiliations
Case Reports

Colonic adenocarcinoma presenting as monocular metamorphopsia

Kirk A J Stephenson et al. BMJ Case Rep. .
No abstract available

Keywords: colon cancer; ophthalmology; radiology; retina.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Widefield colour fundus photograph (Optos California, Optos, UK) of the right eye demonstrating two pale/yellow lesions at the level of the choroid at the temporal macula. (B) Spectral domain optical coherence tomography (SD-OCT, Cirrus 5000, Carl Zeiss Meditec, USA) image through the fovea and superior choroidal lesion quantifying the elevation of the choroidal lesions and subretinal fluid/exudative retinal detachment (ERD). (C) Widefield fundus autofluorescence (Optos California, Optos) with mottled hyperautofluorescence over the choroidal lesions and clear demarcation of the extent of ERD. (D) Late phase fluorescein angiogram (Optos California, Optos) demonstrating late mottled hyperfluorescence of the choroidal lesions.
Figure 2
Figure 2
(A) Axial contrast CT scan of the chest showing multiple enhancing ‘cannonball’ metastatic deposits throughout bilateral lung parenchyma and filling defects of small pulmonary arterioles consistent with pulmonary emboli. (B) Axial non-contrast CT scan of the upper abdomen showing multiple hypodense lesions within both lobes of the liver representing metastatic deposits, one of which was subsequently biopsied to achieve a tissue diagnosis. There are also enlarged para-aortic retroperitoneal lymph nodes. (C) Coronal postcontrast CT scan of the lower thorax and abdomen showing the likely primary caecal tumour and disseminated metastases, most prominently in the liver.
See this image and copyright information in PMC

References

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