Presentation
Short history of increasing abdominal distension. 24 hours of failure to pass motions.
Patient Data
Short stenosing stricture at the rectosigmoid junction.
Distended fluided filled large bowel most pronounced in the right side of the colon.
Case Discussion
Large bowel obstruction is a key surgical pathology, one which both clinicians and radiologists working out of hours should be at capable of diagnosing and managing.
A high proportion are due to the first presentation of a sigmoid colorectal carcinoma. Complicated diverticular disease with stricture formation is another common cause.
This was a short stenosing rectosigmoid junction tumor causing a high grade large bowel obstruction. The right side of the colon is suggestive of imminent perforation.
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