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Colonic Stent Placement Facilitated by Percutaneous Cecostomy and Antegrade Enema

T. E. Velling1, L. D. Hall and F. J. Brennan

1 All authors: Department of Radiology, Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA 92134-5000.



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  		Fig. 1A. —58-year-old woman with metastatic ovarian carcinoma and acute colonic obstruction. Digital radiograph obtained after Gastrografin (Bracco Diagnostics, Princeton, NJ) enema shows complete obstruction (arrow) at rectosigmoid junction.

 


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  		Fig. 1B. —58-year-old woman with metastatic ovarian carcinoma and acute colonic obstruction. Digital radiograph from antegrade enema through cecostomy shows wire crossing known stricture in antegrade direction, coiled in rectum.

 


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  		Fig. 1C. —58-year-old woman with metastatic ovarian carcinoma and acute colonic obstruction. Digital radiograph shows proximal and distal extent of malignant stricture (arrowheads). Note stent delivery sheath (arrow) that was advanced across stricture before deployment.

 


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  		Fig. 1D. —58-year-old woman with metastatic ovarian carcinoma and acute colonic obstruction. Digital radiograph obtained after contrast enema and stent placement shows stents to be patent.

 

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