Figure 8.

Failed challenge in an oncologic patient with malignant obstruction from metastatic ovarian cancer who decompensated on therapy. (a) Prior CT with fluid-filled dilated SB from malignant SB tethering to an adjacent metastatic deposit (solid arrows). (b) 24-h WSC challenge radiograph demonstrates persistent dilated small bowel distended with air (solid arrow) or contrast (dashed arrow) without evidence of contrast transit into the colon. After goals of care discussion, the patient was transferred to comfort cares. WSC, water-soluble contrast; SB, small bowel.