Presentation
Constipation and abdominal pain.
Patient Data
Age: 50 years
From the case:
Rectal cancer with uterine invasion
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Axial ADC

A large irregular shaped ill defined soft tissue lesion is seen occupying the rectosigmoid colon, infiltrates the anterior rectal wall and invades the posterior uterine wall with development of a recto-uterine fistula as evident by air within the uterine cavity.
Case Discussion
Pathologically proved rectal carcinoma with uterine invasion.