Clinical ImageCLINICAL IMAGE Transverse colon adenocarcinoma with direct cutaneous extension: complex multidisciplinary surgical management Zachary A. Snow, DO; Barak N. Marshall, OMS III; Paulette Dreher, DO; Samir N. Parikh, MD; Adam Walchak, MD; and David B. Cahn, DO Notes and Affiliations Notes and Affiliations Received: January 16, 2022 Accepted: February 2, 2022 Published: February 23, 2022 Zachary A. Snow, DO, Main Line Health Urology Residency, Bryn Mawr, PA, USA Barak N. Marshall, OMS III, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA Paulette Dreher, DO, Main Line Health Urology Residency, Bryn Mawr, PA, USA Samir N. Parikh, MD, Main Line Health Department of Colorectal Surgery, Media, PA, USA Adam Walchak, MD, Main Line Health Department of Plastic and Reconstructive Surgery, Media, PA, USA David B. Cahn, DO, Main Line Health Department of Urology, Media, PA, USA J Osteopath Med; 122(6): 327-328 https://doi.org/10.1515/jom-2022-0015