Presentation
Altered bowel habit and abdominal pain.
Patient Data
Age: 70 years
Gender: Female
From the case:
Fistulating sigmoid cancer
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There is an irregular mass in the distal sigmoid colon, with a tract extending from this mass into nearby rectosigmoid junction. Regionally there is an irregular, heterogeneous and enlarged lymph node. Colonic diverticulosis is present. No distant metastases are shown.
Conclusion:
Distal sigmoid carcinoma, fistulating into nearby rectosigmoid junction.
Case Discussion
Tumor perforation can result in localized or peritoneal gas, as well as fistulation into nearby organs.
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