Liver and peritoneal mets are not uncommon when a large colon lesion invadesi the blood stream. Vomiting is a sign of retrograde movement of GI content to stomach and up into esophagus. Inflammatory changes associated with the site of the primary can induce the febrile response. PET/CAT can show extent of spread and also visualize partial intestinal obstruction for which decompression required.
Answered Aug 21, 2015
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