Rectal tumour

Case contributed by Dr Ian Bickle

Presentation

Fresh PR blood. Endoscopic biopsy performed, but incomplete colonoscopy.

Patient Data

Age: 76
Gender: Female
Barium

Polypoid lesion with muscosal irregularity on the posterior aspect of the lower rectum ( within finger distance on PR examination )

Case Discussion

Barium enema is no longer the gold standard for assessment of the rectum, in-fact not even 2nd or 3rd in many centres with the availability of CT colonoscopy and routine use of MRI in localised staging.

This is a now uncommon case of a rectal tumour on barium enema - the irregularity and mucosal destruction indication this polypoid lesion is malignant in nature.

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Case information

rID: 34632
Case created: 2nd Mar 2015
Last edited: 6th Mar 2015
Tag: rdgh
Inclusion in quiz mode: Included

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