c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Obstructing Colon Cancer: 1

A D V E R T I S E M E N T

   
 

An 84-year-old man presented with obstipation and abdominal distention. Flat plate showed distended small and large bowel. Flexible sigmoidoscopy to 25 cm was unremarkable. Passage of a colonoscope beyond a redundant sigmoid loop revealed the lesion shown. The lesion was biopsied.      

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Obstructing Colon Cancer: 2

A D V E R T I S E M E N T

   
 

The patient was taken immediately for gastrografin enema to determine if the lesion was totally obstructing. Patency might allow bowel prep and elective surgical treatment.       

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Obstructing Colon Cancer: 3

A D V E R T I S E M E N T

   
 

An oblique fluoroscopy view is shown. The study showed total obstruction at the junction of descending colon and sigmoid. The patient was fluid resuscitated and taken emergently to the operating room.       

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This page was last modified on 8/31/2001.