Large bowel obstruction

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and progressive distention. Absolute constipation.

Patient Data

Age: 50 years
Gender: Male
x-ray

Dilated loops of the large bowel to the sigmoid colon region accompanied by air-fluid level. The distal large bowel is collapsed. No free air or pneumotosis

Case Discussion

Features on the X-ray are consistent with large bowel obstruction

The patient underwent colonoscopy and then surgery that confirmed rectosigmoid adenocarcinoma

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