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Typical features of intussusception involving the left hmeicolon producing a colied spring -like pattern. Note mesenteric vessels to the intussucepted bowel continue to enhance. There is, however, gross proximal large bowel obstruction with marked distension of the caecum. Note markedly thick-walled neurogenic bladder with hydronephrosis.
Rectal gastrografin shows a lobulated mass lesion at the lead point of the intussusception in the sigmoid. The patient had an urgent left hemicolectomy with adenocarcinoma confirmed.