Large bowel obstruction - malignant

Case contributed by Dr Ian Bickle

Presentation

Short history of increasing abdominal distension. 24 hours of failure to pass motions.

Patient Data

Gender: Male

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 tumour causing a high grade large bowel obstruction.  The right side of the colon is suggestive of imminent perforation.

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Case information

rID: 34601
Case created: 28th Feb 2015
Last edited: 11th Sep 2015
Tag: rdgh
Inclusion in quiz mode: Included

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