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A 59-year-old woman was admitted to the hospital because of increasing constipation, abdominal pain, and a rectosigmoid mass.
The patient had been well until three months earlier, when pain in the right lower quadrant and constipation developed and gradually worsened; she passed mucus in her stools, without blood. Three weeks before admission colonoscopic examination at the gastrointestinal clinic showed a concentric mass, approximately 8 cm in diameter, in the sigmoid colon, with nearly complete obstruction. A pediatric endoscope was passed into the ascending colon with difficulty. No further abnormalities were observed. It was noted that the mucosa overlying the mass
Differential Diagnosis
Clinical Diagnoses
Dr. Arlan F. Fuller, Jr.'s, Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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