Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction in a high-risk patient

Figure 1. CT view of abdomen and pelvis (axial) showing 4.8- × 2.7-cm mass at rectosigmoid junction (green cross).

Figure 2. CT views of abdomen and pelvis (A, sagittal; B, coronal) showing dilated loops of bowel proximally, secondary to rectosigmoid obstruction (yellow arrows).

Figure 3. Sigmoidoscopic view showing rectosigmoid stenosis.

Figure 4. Balloon-occluded colonographic view depicting guidewire and stricture (patient in semi-left lateral position).

Figure 5. Colonographic view depicting a 22- × 90-mm uncovered duodenal stent deployed across rectosigmoid stricture (patient in supine position).

Figure 6. Sigmoidoscopic view showing patent rectosigmoid junction after stent deployment.