Colorectal carcinoma makes up about 50-60% of large bowel obstructions.

The appearance is due to the closed loop obstruction in a sigmoid volvulus. All of the answers seem possible but coffee bean is correct--not sure if it is Arabica or Robusta.

Intussusception does occur in adults but is rare. This is a colonic/colonic rather than an ileocolic variant.

Ogilvie syndrome was first described in 1948. Most commonly seen in elderly bed bound patients. There is malfunction of autonomic control. Note---the arrow in the x-ray is pointing to a rectal tube.

The Price is Right is the longest running game show but does not have the longest running host. Pat Sajak has been hosting Wheel of Fortune since 1981. He apparently gets US$15 million per year. No wonder he looks happy in the photo.

You can see the large bowel in the hernia.

It is the characteristic finding of a caecal volvulus with the twisted distended caecum in the left upper quadrant. Note---I made up the transverse colon volvulus.

It is from torsion of the sigmoid mesentry and is also known as the whirlpool sign. Note the phrase is also used in other conditions where there is twisting of the mesentry or vascular pedicle like in small bowel obstructions or ovarian torsion.

He is using a rectal tube to decompress a sigmoid volvulus.

Earliest mention in the medical literature was made in ancient Egypt, in the Ebers Papyrus, in 1550 BC. Apparently according to Egyptian mythology the god Troth invented the enema. For those interested in the world of enemas google ---John Harvey Kellogg---you will never look at your cornflakes the same way again.