Self-expanding metal stents (SEMS) provide effective decompression of malignant large bowel obstruction and are recommended as a palliative treatment option in appropriately selected patients [1-3]. Stenting at the splenic flexure may be technically challenging because of colonic angulation and tortuosity. A 78-year-old man with metastatic adenocarcinoma of the splenic flexure presented with progressive abdominal distension secondary to partial large bowel obstruction.
