Sigmoid tumour

Case contributed by Dr Ian Bickle


Eldery patient with altered bowel habit and PR bleeding of late. Failed endoscopy.

Patient Data

Age: 76
Gender: Male

Limited study.  Patient unable to retain barium and air.

Large circumferental tumour of the proximal sigmoid, causing a tight stricture with shoulder margins.

Background sigmoid diverticulosis.


Large sigmoid tumour.

Single liver metastasis.

Sigmoid diverticulosis.


Case Discussion

Colonic cancer is one of the top 3 tumours in the western world, afflicting nearly equally both males and females.

Endoscopy if the gold standard investigation with CT for staging of a confirmed tumour.   In the case of the rectal cancer subset, MRI is performed for local staging.

With the additional advent of CT virtual colonoscopy the scope and role of barium enema is more limited, but often plays a role in failed colonoscopy, in both delineating the primary tumour and any synchronous disease.

The smorgasboard of imaging offerings if often to a degree dicatated by local practice/institution.

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Case information

rID: 33333
Published: 23rd Jan 2015
Last edited: 16th Jul 2018
Tag: rdgh
Inclusion in quiz mode: Included

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