Ca Descending Colon

A male aged 66 years Chief Complaints Known case pf carcinoma descending colon since 2 months undergoing chemo Acute onset pain abdomen (x 2 hrs) Obstipation Physical Examination P/A - Distended, BS (-) Investigations Xray Abdomen

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We can see that there is intestinal obstruction... Would need a colonoscopy and cect abdomen to know the cause .. Can be a recurrence of the disease... General rules of management of obstruction like rules tube insertion, nil per oral ,iv fluid checking serum electrolytes, antibiotics, should be done.... If lesion is causing obstruction a diversion colostomy would relieve the patients symptoms

Adv FDG scan There seems to be resurgence and compression

Intestinal obstruction due to fibrosis

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