The patient is a 53-year-old African-American female who presented with near obstructing lesion at the hepatic flexure.  The patient underwent a colonoscopy which found this lesion and biopsies were taken proving invasive adenocarcinoma.  The patient was NG decompressed preoperatively and was prepared for surgery.  The need for removal of the colon cancer was explained at length.  The patient was agreeable to proceed with the surgery and signed preoperatively informed consent.