Question 2647
{"accessible":true,"alternatives":[{"id":12969,"text":"cecal volvulus"},{"id":12968,"text":"diverticulitis"},{"id":12967,"text":"malignancy"},{"id":12970,"text":"sigmoid volvulus"}],"archived":false,"correctAlternativeId":12967,"explanation":"\u003cp\u003eNarrowing of the large bowel with transition point at the splenic flexure is characteristic for an obstructing stricture. In the colon, the most likely etiology is a malignancy, chronic diverticulitis is the second most likely etiology.\u003c/p\u003e","id":2647,"imageUrl":"https://prod-images-static.radiopaedia.org/images/54766916/119_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":88301},"imageAttributionCaseInfo":{"title":"Obstructive splenic flexure colonic adenocarcinoma","contributor_name":"Michael P Hartung","contributor_param":"mphartung","case_rid":88301,"case_param":"obstructive-splenic-flexure-colonic-adenocarcinoma"},"firstQuestionPath":"/questions/2649","nextQuestionPath":"/articles/colorectal-cancer-1/questions/2010","relatedArticles":[{"id":6335,"title":"Large bowel obstruction","link":"/articles/large-bowel-obstruction?lang=us"}],"alsoUsedIn":[{"id":1768,"kind":"Course","title":"Abdominopelvic CT: Graphic Novel - page 1768","link":"https://radiopaedia.org/courses/abdominopelvic-ct-graphic-novel/pages/1768"},{"id":1768,"kind":"Course","title":"Papa \u0026 Papa Bear's Medical Statistics Short Course - page 1768","link":"https://radiopaedia.org/courses/medical-statistics-short-course/pages/1768"}],"stem":"\u003cp\u003eWhat is the most likely cause of this large bowel obstruction with transition point at the splenic flexure on this coronal image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2647"}],"attemptsPercentages":[{"alternativeId":"12968","percentage":7},{"alternativeId":"12969","percentage":3},{"alternativeId":"12970","percentage":9},{"alternativeId":"12967","percentage":82}],"promptToLogin":false,"questionManager":false,"articleId":"colorectal-cancer"}