This 72 year old lady presented with a three month history of colicky lower abdominal pain and rectal bleeding. Rectal and sigmoidoscopic examination were unremarkable. A barium enema was requested. This image is from a barium enema series showing a typical 'apple core' stricture. The appearances are typical of a colonic carcinoma. Benign strictures have smooth and tapering edges. The patient proceeded to an uncomplicated sigmoid colectomy. It was a Duke's C tumour and she had adjuvant chemotherapy.
Fri, 2007-02-16 19:54