Malignant colonic neoplasm presenting as small bowel obstruction

Case contributed by Dr Chris O'Donnell

Presentation

PH diverticulosis. Now vomitting and passing blood PR

Patient Data

Age: 51
Gender: Female

Large (locally advanced) obstructing neoplasm of the descending colon (arrow).  Note marked distension of the proximal colon (filled with fluid) and the incompetent ileo-caecal valve with "backflow" and distension of the distal small bowel (looking like an SBO on the scout anterior radiograph)

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Case Information

rID: 17626
Case created: 30th Apr 2012
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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