Large bowel obstruction

Case contributed by Dr Ian Bickle

Presentation

Microcytic anaemia. Altered bowel habit. Distended abdomen.

Patient Data

Age: 70 years
Gender: Male
Modality: CT

A 4cm tight stenosing rectosigmoid tumour with proximal large bowel obstruction is noted.    The ascending colon measures 7.3cm. Trace of pelvic free fluid.  No free gas. Solid organs normal.  No para-aortic nodes.

Case Discussion

Typical appearances of a colorectal carcinoma presenting with a large bowel obstruction.

The stenosing tumour in the rectosigmoid resulting in a large bowel obstruction.

In this case presenting before perforation.

Surgical findings were consistent with the CT findings.

HISTOLOGY REPORT

Moderately differentiated adenocarcinoma. pT4.

No lymphovascular invasion.

Eight lymph nodes: all negative.

PlayAdd to Share

Case Information

rID: 51868
Case created: 11th Mar 2017
Last edited: 18th Mar 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.