Presentation
Patient in treatment for a primary vaginal cancer. Presenting with rectal bleeding.
Patient Data
CT scan demonstrate a residual mass involving the right upper aspect of vagina touching the bladder floor. Diffuse thick walls to the rectosigmoid colon.
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MRI demonstrates a residual mass involving the right upper aspect of the vagina touching the bladder floor.
No urethral involvement. Diffuse thick walls to the rectosigmoid colon.
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Diffuse thick walls to the rectosigmoid colon.
Case Discussion
This patient was submitted to pelvic radiotherapy. The clinical symptoms and the presence of diffuse thick walls on rectosigmoid colon suggest a radiation proctitis.
Radiation proctitis is a common problem after pelvic radiation for prostate or gynecologic malignancy. The complication is referred as chronic when it lasts more than 3 months after radiation exposure.
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