Bowel obstructed by bone
- Resource Type
- Authors
- John Firth; Lee Dvorkin; James J Sun
- Source
- Journal of Clinical Pathology. 73:180-180
- Subject
- Splenic flexure
medicine.medical_specialty
Constipation
medicine.diagnostic_test
Colorectal cancer
business.industry
medicine.medical_treatment
Transverse colon
Sigmoidoscopy
General Medicine
medicine.disease
Pathology and Forensic Medicine
Bloating
Laparotomy
medicine
Anal verge
Radiology
medicine.symptom
business
- Language
- ISSN
- 1472-4146
0021-9746
2019-2061
A 37-year-old man presented with a 2-week history of crampy abdominal pain and bloating. This was associated with vomiting, loss of appetite and absolute constipation. He was otherwise fit and well with no medical or family history of note. CT imaging showed large bowel obstruction with a transition point 10 cm from the splenic flexure. There were areas within the lesion with the same attenuation as bone. Flexible sigmoidoscopy showed an obstructing tumour 65 cm from the anal verge. A laparotomy and resection were performed. The histology of the transverse colon tumour is shown (see figure 1). Review the high quality, interactive digital Aperio slide at http://virtualacp.com/JCPCases/jclinpath-2019-206130/ …