Medhat Moustafa Abd Elgaber Hagras.
Management of acute malignant large-bowel obstruction of the splenic fl exure: Case presentation and review of the literature.
Pak J Surg Jan ;29(3):229-32.

Th is study aimed to describe a case in which an obstructing splenic fl exure carcinoma treated with segmental colectomy with primary anastomosis aft er decompression of the obstructed unprepared colon without intraoperative colonic lavage . A wide review of the literature was also performed. A 54 years old man was admitt ed to our hospital with abdominal pain, distension, repeated vomiting and absolute constipation. Patient investigated and underwent emergency laparotomy with a presumptive diagnosis of an obstructing splenic fl exure carcinoma, segmental colectomy with primary anastomosis was done. Pathological fi ndings were consistent with moderately diff erentiated mucinous adenocarcinoma stage2 (Astler and Coller classifi cation). Th is paper is also a review of the existing literature.

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