Fistulating sigmoid cancer

Case contributed by Dr Wayland Wang


Altered bowel habit and abdominal pain.

Patient Data

Age: 70 years
Gender: Female

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.


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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