A case of Chronic Constipation found to have Colonic Mass
A middle aged male who is a k/c/o Chronic Constipation p/w Chief Complaints Poor response to laxatives Increase in severity of Constipation Anorexia since 1 month Physical Examination Grossly normal Investigations Colonoscopy revealed a growth just after crossing Hepatic Flexure compromising lumen Diagnosis What could possibly the nature and treatment approach
Most likely colonic carcinoma. To determine type and nature of corcinoma biopsy and histopathological examination is done. Usg whole abdomen to evaluate metastasis.and stage of malignancy. Surgery and radiotherpy is option for tt.
Carcinoma of right side of transverse colon A CECT abdomen for any abdominal metastasis. A colonoscopic biopsy should have been done. A right hemicolectomy is indicated
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A-65-year-old man is transferred from the local psychiatric hospital as an emergency and is said to be suffering with abdominal pain and constipation. He is unable to provide a meaningful history and the only notes supplied are a drug chart containing a number of psychiatric medications and laxatives. Examination reveals a distended but minimally tender abdomen with a hyper-resonant percussion note. What is the diagnosis? A) Caecal volvulus B) Colonic carcinoma C) Diverticular disease D) Sigmoid volvulus E) Small bowel obstruction
Dr. Sudhir Mann0 Like3 Answers - Login to View the image
History A 54-year-old man presents to the emergency department with a 4-day history of abdominal distension, central colicky abdominal pain, vomiting and constipation. On further questioning he says he has passed a small amount of flatus yesterday but none today. He has had a previous right-sided hemicolectomy 2 years ago for colonic carcinoma. He lives with his wife and has no known allergies. Examination His blood pressure and temperature are normal. The pulse is irregularly irregular at 90/min. He has obvious abdominal distension, but the abdomen is only mildly tender centrally. The hernial orifices are clear. There is no loin tenderness and the rectum is empty on digital examination. The bowel sounds are hyperactive and high pitched. Chest examination finds reduced air entry bibasally. Questions • What is the diagnosis? • What features on the x-ray point towards the diagnosis? • How should the patient be man- aged initially? • What are the common causes of this condition?
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