Carcinoma of the colon.A 71-year-old man with a history of recent weight loss, rectal bleeding, and an iron deficiency anemia presented with sudden onset of severe and generalized abdominal pain. On examination he had a generalized peritonitis. The chest X-ray showed a large volume of gas under both diaphragms.
At operation he was found to have a stenosing carcinoma of the descending colon and a perforated caecum. The abdominal cavity contained 2L of faecal fluid. A subtotal colectomy and ileostomy was performed. The liver contained metastatic disease. The photograph shows the opened bowel and the stenosing tumor.
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