Rectosigmoid carcinoma presenting as full-thickness rectal prolapse

dc.contributor.authorMontwedi, Daniel
dc.contributor.emaildaniel.montwedi@up.ac.zaen_ZA
dc.date.accessioned2020-04-13T14:07:38Z
dc.date.issued2019-12-30
dc.description.abstractA 34-year-old man with recent-onset constipation presented with colonic obstruction due to a palpable rectal tumour. Colostomy relieved the obstruction and biopsy revealed carcinoma. During workup, full-thickness rectal prolapse occurred with the tumour at the apex of an intussusception. Imaging revealed a low rectal tumour and no metastases. An abdominal oncological rather than perineal resection of the rectum was planned. At laparotomy, the tumour was reduced and was seen to originate at the rectosigmoid junction. Surgery was successful and follow-up has been clear. Histology revealed an adenocarcinoma with microsatellite instability. Rectal prolapse due to tumour intussusception is very rare. In this young man, it was due to straining at stool because of constipation and tenesmus rather than pelvic floor abnormality. An associated colorectal tumour should be considered in patients with rectal prolapse. In such cases, surgical and adjuvant management may need to be modified.en_ZA
dc.description.departmentSurgeryen_ZA
dc.description.embargo2020-06-30
dc.description.librarianhj2020en_ZA
dc.description.urihttp://casereports.bmj.comen_ZA
dc.identifier.citationMontwedi D. Rectosigmoid carcinoma presenting as full-thickness rectal prolapse BMJ Case Reports CP 2019;12:e230409. doi:10.1136/bcr-2019-230409 .en_ZA
dc.identifier.issn1757-790X (online)
dc.identifier.other10.1136/bcr-2019-230409
dc.identifier.urihttp://hdl.handle.net/2263/74130
dc.language.isoenen_ZA
dc.publisherBMJ Publishing Groupen_ZA
dc.rights© BMJ Publishing Group Limited 2019en_ZA
dc.subjectColonic obstructionen_ZA
dc.subjectPalpable rectal tumouren_ZA
dc.subjectRectal prolapseen_ZA
dc.subjectIntussusceptionen_ZA
dc.titleRectosigmoid carcinoma presenting as full-thickness rectal prolapseen_ZA
dc.typePostprint Articleen_ZA

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Montwedi_Rectosigmoid_2019.pdf
Size:
590.37 KB
Format:
Adobe Portable Document Format
Description:
Postprint Article

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.75 KB
Format:
Item-specific license agreed upon to submission
Description: