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Case 45

An elderly lady with a change in bowel habit

This lady presented with a history of change in bowel habit, and increasing difficulty opening her bowels. She had also been losing weight. She had had a mastectomy for breast carcinoma four years earlier, and a cholecystectomy 8 years ago. There was no other past history of note. She was referred for a barium enema.

What does the filling view of the rectum demonstrate?