Obstructing sigmoid adenocarcinoma

Discussion:

Both benign and malignant causes of colonic obstruction can occur. Benign strictures can be from ischemia or inflammation (e.g. recurrent diverticulitis). 

In this case, the mass-like thickening and enhancement at the site of transition should strongly raise the suspicion for a malignant stricture due to scirrhous adenocarcinoma, even in the absence of adenopathy or tumor elsewhere. 

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