Carcinoma of the recto-sigmoid.
A 55 year old man who presented with a one week history of colicky abdominal
pain and distension. Examination revealed an ill-looking man with a
distended, tympanitic abdomen and an empty rectum. A plain radiograph
showed dilated loops of large bowel, with some gas in the rectum.
A flexible sigmoidoscopy showed a stenosing carcinoma at 25 cm. The patient
underwent a Hartmann's procedure. This is a view of the resected specimen,
which has been opened to show the obstructed bowel to the right of the photograph. Dukes C.
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