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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 68-year-old woman undergoing chemotherapy for metastatic lung cancer presented with abdominal distention. She was immunocompromised from the chemotherapy. Abdominal film showed massively distended colon and some small bowel. Colonoscopy showed a narrowing at the rectosigmoid junction with no mucosal lesion. Endoscopic decompression was not successful and the patient showed signs of increasing toxicity.
A D V E R T I S E M E N T
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CT scan showed the massively dilated colon with a suggestion of perirectal free air below the peritoneal reflection.
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A D V E R T I S E M E N T
The patient was taken to the operating room for emergency exploration. The abdominal distention is shown.
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This page was last modified on 12/23/2008.
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