Radiation proctitis

Case contributed by Dr Bruno Di Muzio

Presentation

Patient in treatment for a primary vaginal cancer. Presenting with rectal bleeding.

Patient Data

Age: 78
Gender: Female
CT

CT Pelvis

CT scan demonstrate a residual mass involving the right upper aspect of vagina touching the bladder floor. Diffuse thick walls to the rectosigmoid colon.

MRI

MRI Pelvis

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.

Annotated image

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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Case information

rID: 31658
Case created: 19th Oct 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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