Fistulating sigmoid cancer

Case contributed by Dr Wayland Wang

Presentation

Altered bowel habit and abdominal pain.

Patient Data

Age: 70 years
Gender: Female
CT

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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Case information

rID: 59212
Published: 27th Mar 2018
Last edited: 28th Mar 2018
Inclusion in quiz mode: Included

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