PMC5425283_01
Endoscopic spray cryotherapy for rectal adenocarcinoma.
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F1
Colonoscopy was repeated after 2 weeks due to ongoing rectal bleeding, and liquid nitrogen endoscopic spray cryotherapy was performed at two separate tumor sites for three cycles of 15 seconds each (Figure 1).
Abdominal x-ray after endoscopic spray cryotherapy showing the distended ascending colon and part of the transverse colon, but a non-distended left colon.
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F2
Abdominal x-ray showed prominent gas-filled cecum and ascending and proximal transverse colon (Figure 2).
Abdominal CT scan showing the transverse colon displaced into the hernia sac, causing partial bowel obstruction and proximal bowel dilatation.
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F3
The bowel distention and discomfort did not resolve in the next 24 hours, so CT scan of the abdomen was performed, which revealed a paraumbilical hernia containing a segment of the transverse colon resulting in partial bowel obstruction (Figure 3).