Known caecal carcinoma waiting for surgical excision. Developed severe abdominal pain with vomiting. Small bowel loop dilatation on radiographs, ? site of obstruction.
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The colon from ileo-caecal junction is intussuscepted through to the left iliac fossa (distal descending). Lead point is not well seen but seems to be mucosal thickening, presumed to be the known caecal carcinoma. Note indrawn blood vessels continue to enhance thus the intussuscepted bowel is not definitely ischaemic at this time.