eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-07-09 6 6 106 108 10.12691/ajmcr-6-6-2 AJMCR2018662 article Asad Ullah asad-86@live.com 1 Zeeshan Khakwani 1 Asghar Marwat 1 Samuel Massoud 1 Department of Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, PA, USA A 38 years old lady presented to her local hospital with acute abdominal pain. To evaluate the cause of her abdominal pain, she had a computed tomography (CT) scan of her abdomen that showed thickening of the distal portion of the transverse colon. For further evaluation, patient underwent colonoscopy that revealed a circumferential colonic mass in the distal portion of the colon that was suspicious for colon cancer. The colonic mass was biopsied and tissue pathology reported adenocarcinoma. Subsequently, magnetic resonance imaging (MRI) scan of her abdomen was obtained that showed the presence of numerous lesions throughout the liver. She underwent laparoscopic hemicolectomy and subsequently chemotherapy with significant improvement of her symptoms and disease burden. http://pubs.sciepub.com/ajmcr/6/6/2/ajmcr-6-6-2.pdf metastatic colon cancer colorectal cancer screening