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Rectal Adenocarcinoma Presenting as a Perirectal Abscess
Classic symptoms of rectal cancer (RC) such as hematochezia, tenesmus, rectal pain, and bowel habit changes are well known but can be nonspecific and misdiagnosed. Rare presentations, in combination with these conventional symptoms, can occur warranting a higher degree of clinical suspicion. Here, w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116390/ https://www.ncbi.nlm.nih.gov/pubmed/37091834 http://dx.doi.org/10.1159/000528950 |
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author | Saha, Bibek Dang, Jared Kahili-Heede, Melissa Grobe, James |
author_facet | Saha, Bibek Dang, Jared Kahili-Heede, Melissa Grobe, James |
author_sort | Saha, Bibek |
collection | PubMed |
description | Classic symptoms of rectal cancer (RC) such as hematochezia, tenesmus, rectal pain, and bowel habit changes are well known but can be nonspecific and misdiagnosed. Rare presentations, in combination with these conventional symptoms, can occur warranting a higher degree of clinical suspicion. Here, we report a case of rectal adenocarcinoma presenting as a perirectal abscess. A 52-year-old male with uncontrolled diabetes mellitus presented with a 2-year and 2-month history of rectal bleeding and changes in bowel habits, respectively, which were attributed to other conditions. He initially presented with left buttock pain and severe sepsis. Subsequent workup for suspected Fournier’s gangrene and perirectal abscess led to the discovery of a rectal adenocarcinoma (pT4N0M0, stage IIB/C). A combination of debridement, antibiotic therapy, neoadjuvant chemoradiation, and abdominoperineal resection resulted in improvement of the patient’s condition and remission. In conclusion, rare presentations of RC, such as a perirectal abscess, especially if present in conjunction with conventional RC symptomology, may necessitate the workup of RC. |
format | Online Article Text |
id | pubmed-10116390 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-101163902023-04-21 Rectal Adenocarcinoma Presenting as a Perirectal Abscess Saha, Bibek Dang, Jared Kahili-Heede, Melissa Grobe, James Case Rep Gastroenterol Single Case Classic symptoms of rectal cancer (RC) such as hematochezia, tenesmus, rectal pain, and bowel habit changes are well known but can be nonspecific and misdiagnosed. Rare presentations, in combination with these conventional symptoms, can occur warranting a higher degree of clinical suspicion. Here, we report a case of rectal adenocarcinoma presenting as a perirectal abscess. A 52-year-old male with uncontrolled diabetes mellitus presented with a 2-year and 2-month history of rectal bleeding and changes in bowel habits, respectively, which were attributed to other conditions. He initially presented with left buttock pain and severe sepsis. Subsequent workup for suspected Fournier’s gangrene and perirectal abscess led to the discovery of a rectal adenocarcinoma (pT4N0M0, stage IIB/C). A combination of debridement, antibiotic therapy, neoadjuvant chemoradiation, and abdominoperineal resection resulted in improvement of the patient’s condition and remission. In conclusion, rare presentations of RC, such as a perirectal abscess, especially if present in conjunction with conventional RC symptomology, may necessitate the workup of RC. S. Karger AG 2023-04-19 /pmc/articles/PMC10116390/ /pubmed/37091834 http://dx.doi.org/10.1159/000528950 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Single Case Saha, Bibek Dang, Jared Kahili-Heede, Melissa Grobe, James Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title | Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title_full | Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title_fullStr | Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title_full_unstemmed | Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title_short | Rectal Adenocarcinoma Presenting as a Perirectal Abscess |
title_sort | rectal adenocarcinoma presenting as a perirectal abscess |
topic | Single Case |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116390/ https://www.ncbi.nlm.nih.gov/pubmed/37091834 http://dx.doi.org/10.1159/000528950 |
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