Malignant bowel obstruction is the clinical and imaging evidence of bowel obstruction beyond the ligament of Treitz in the setting of an incurable cancer with intraperitoneal spread. A multi-detector computed tomography scan with multiplanar reconstructions is the gold standard for diagnosis confirmation and treatment orientation. Treatment is challenging and can either be surgical, endoscopic or most likely medical. In the following manuscript, we discuss the current place of each treatment modality in end-stage malignant bowel obstruction management.

(BELG J MED ONCOL 2019;13(4):123–128)