Apple core sign (colon)

Last revised by Michael P Hartung on 11 Oct 2023

The apple core sign, also known as the napkin ring sign (bowel), is most frequently associated with constriction of the lumen of the colon by a stenosing annular colorectal carcinoma.

Differential diagnosis

The appearance of the apple-core lesion of the colon also can be caused by other diseases 3:

See also

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Cases and figures

  • Figure 1: apple core
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  • Figure 2: apple-core lesion
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  • Figure 2: apple-core lesion
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  • Figure 3: gross pathology - colorectal cancer
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  • Case 1
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  • Case 2
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  • Case 3
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  • Case 4
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  • Case 5
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  • Case 6
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  • Case 7
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  • Case 8
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