Presentation
Microcytic anemia. Altered bowel habit. Distended abdomen.
Patient Data
Age: 70 years
Gender: Male
From the case:
Large bowel obstruction
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A 4cm tight stenosing rectosigmoid tumor with proximal large bowel obstruction is noted. The ascending colon measures 7.3cm. Trace of pelvic free fluid. No free gas. Solid organs normal. No para-aortic nodes.
Case Discussion
Typical appearances of a colorectal carcinoma presenting with a large bowel obstruction.
The stenosing tumor in the rectosigmoid resulting in a large bowel obstruction.
In this case presenting before perforation.
Surgical findings were consistent with the CT findings.
HISTOLOGY REPORT
Moderately differentiated adenocarcinoma. pT4.
No lymphovascular invasion.
Eight lymph nodes: all negative.
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