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DIASTATIC RUPTURE OF THE CECUM IN OBSTRUCTING CARCINOMA OF THE LEFT COLON

RADIOGRAPHIC DIAGNOSIS AND SURGICAL IMPLICATIONS

STANLEY NOVY M.D.1, LEE F. ROGERS M.D.2, and WILLIAM KIRKPATRICK M.D.3

1 Department of Diagnostic Radiology, the University of Texas System Cancer Center, M. D. Anderson Hospital and the Department of Diagnostic Radiology, Hermann Hospital, Texas Medical Center, Houston, Texas.
2 Department of Radiology, Northwestern University, The Medical School, Chicago, Illinois.
3 Department of Diagnostic Radiology, Baylor College of Medicine, Houston, Texas.

Four cases of diastatic rupture of the cecum in association with an obstructing carcinoma of the left colon are presented.

Abdominal roentgenograms demonstrating massive pneumoperitoneum, dilated cecum, and distal obstruction of the colon are considered characteristic of this entity.

At the time of surgery for obstructing carcinomas of the colon, the cecum should be inspected for diastatic perforations.


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