Perforated rectosigmoid cancer

Case contributed by Mohammadtaghi Niknejad


Abdominal pain and chronic constipation.

Patient Data

Age: 65 years
Gender: Male

A 62mm simple cortical cyst is noted at lower pole of right kidney.
Increased wall thickness due to tumoral infiltration is present at rectosigmoid colon measuring about 12cm in length. Surrounding fat stranding and air bubbles are also evident suggestive for bowel loop perforation. Some free air bubbles are also scattered in peritoneal cavity. Several small lymphadenopathies are also observed in the vicinity of diseased segment.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Path proven perforated rectosigmoid adenocarcinoma with small regional lymphadenopathies.

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