Malignant colonic neoplasm presenting as small bowel obstruction
Diagnosis almost certain
Presentation
History of diverticulosis. Now vomiting and passing blood PR.
Patient Data
Age: 50 years
Gender: Female
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Large (locally advanced) obstructing neoplasm of the descending colon (arrow). Note marked distension of the proximal colon (filled with fluid) and the incompetent ileo-cecal valve with "backflow" and distension of the distal small bowel (looking like an SBO on the scout anterior radiograph).