Apple core sign

Case contributed by Dr Roberto Rafael Ovalle

Presentation

Abdominal pain and sanguinolent stool.

Patient Data

Age: 55 years
Gender: Male
Barium

Barium enema was performed and showed the apple core sign in the distal portion of the descending colon. 

Case Discussion

This sign is typical of colorectal carcinoma, which produces eccentric thickening of the colon wall. Obstruction is a common finding.

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