CANCER OF RECTUM AND RECTO-SIGMOID

Sigmoidoscopic and radiological study of the recto-sigmoid junction.

Adequate investigation of the left side of the large bowel and the rectum requires examination by sigmoidoscope and by barium enema. In the lower pelvic colon and the upper rectum these investigations are complementary and sigmoidoscopy may give a clue to disease higher up. Welin (1958) is of the opinion that, using the double contrast method, barium examination of the rectum is in many cases s...

Anus, Rectum, Sigmoid Colon. Diagnosis and Treatment

Successful Downstaging of High Rectal and Recto-Sigmoid Cancer by Neo-Adjuvant Chemo-Radiotherapy

PURPOSE The benefit of neoadjuvant therapy for tumours above the peritoneal reflection is not clear. The purpose of this study is to demonstrate the feasibility and downstaging of treating locally advanced tumours from high rectum to distal sigmoid with preoperative chemoradiotherapy (CRT). METHODS AND MATERIALS Seventeen patients with high rectal, rectosigmoid or distal sigmoid tumours above...

A case of recto-sigmoid endometriosis mimicking carcinoma

INTRODUCTION Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal and lymph node involvement is rare and differential diagnosis from colon cancer and diverticulitis may be difficult due to poor diagnostic accuracy of colonoscopy and colonic biopsies. CASE PRESENTATION We present a case of a nulliparous woman presenting with large bo...

A case report of sevelamer-associated recto-sigmoid ulcers

BACKGROUND Optimal phosphorous control is an important aspect of the care of patients with end-stage renal disease, and phosphate binders are usually needed. CASE PRESENTATION A 74-year-old woman with end-stage renal disease on maintenance hemodialysis presented to the emergency room with abdominal discomfort, rectal pain, and blood-tinged stools. Initial concern was for a rectal carcinoma, b...