Management of Malignant Large-Bowel Obstruction.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31397752.
- Also identified by DOI 10.1097/DCR.0000000000001441.
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Abstract
An otherwise healthy 59-year-old man presented to the emergency department with 2 weeks of narrowed stools, 5 days of obstipation, and 1 day of abdominal pain, nausea, and vomiting. Computed tomography revealed an obstructing sigmoid mass without evidence of metastatic disease, and the CEA was 1.2 ng/mL. Flexible sigmoidoscopy confirmed a circumferentially obstructing distal sigmoid neoplasm. Endoscopic stent placement was immediately followed by a firm distended abdomen. An upright radiograph obtained following the procedure demonstrated free intraperitoneal air. An emergent Hartmann procedure was performed for iatrogenic colon perforation in a patient with malignant obstruction and chronic dilation of the proximal colon.
Medical subject headings
- Colonic Diseases
- Ileostomy
- Intestinal Obstruction
- Laparoscopy
- Sigmoid Neoplasms
- Sigmoidoscopy
- Tomography, X-Ray Computed