Case Report

Volume: 4 | Issue: 8 | Published: Aug 11, 2020 | Pages: 252 - 254 | DOI: 10.24911/ejmcr/173-1582698308

Rectal adenocarcinoma following imperforate anus: A rare case report


Authors: Sarah Khan , Hina Abdul Qayoom Khan , Jan Muhammad Agha , Khursheed Ahmed Samo , Mujeeb Ur Rehman Abbasi , Amjad Siraj Memon


Article Info

Authors

Sarah Khan

Surgical unit 3, Dow University of Health Sciences, Karachi, Pakistan

Hina Abdul Qayoom Khan

Surgical unit 3, Dow University of Health Sciences, Karachi, Pakistan

Jan Muhammad Agha

Surgical Unit 3, Dr. Ruth K.M. Pfau Civil Hospital Karachi, Pakistan

Khursheed Ahmed Samo

Surgical unit 3, Dow University of Health Sciences, Karachi, Pakistan

Mujeeb Ur Rehman Abbasi

Surgical unit 3, Dow University of Health Sciences, Karachi, Pakistan

Amjad Siraj Memon

Surgical unit 3, Dow University of Health Sciences, Karachi, Pakistan

Publication History

Received: February 26, 2020

Accepted: June 10, 2020

Published: August 11, 2020


Abstract


Background: Anorectal malformations are a rare presentation. The standard treatment modality for imperforate anus is surgery. The abdominoperineal pull-through procedure was popular in the past for this malformation, but, with recent advancement, the posterior sagittal anorectoplasty and colostomy as a staged procedure are other options. Chronic constipation following pullthrough procedures for imperforate anus may also lead to degeneration of the anorectal segment. Case Presentation: A 28-year-old male presented with the complaint of on and off constipation and painful defecation since childhood. The patient had a history of imperforate anus congenitally, for which a pull-through procedure was done after birth at another hospital. He underwent multiple surgeries for constipation. During this time period, the patient had constant complaints of difficulty in defecation and constipation, for which he used to use Hager’s dilators to dilate the anal canal. He also used per rectal enema and suppositories. His digital rectal examination showed narrowed anal opening. Colonoscopy was planned, which showed ulcerated and necrotic area at 6–8 cm from anal verge. Biopsy came out to be moderate-to-poor differentiated adenocarcinoma with signet ring cell differentiation. His computed tomography scan was performed, which showed circumferential mural thickening starting from the anal verge to the rectosigmoid junction with local infiltration to prostate, bilateral levator ani, and posterior sacral space. The patient was given a diversion colostomy and was referred for neoadjuvant chemoradiotherapy. Conclusion: All patients undergoing pull-through procedures should be closely followed in a multidisciplinary unit with interval colonoscopy for the early detection and prompt management of rectal cancer.

Keywords: Rectal carcinoma, anorectal malformation, pull-through, case report, green


Pubmed Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. Rectal adenocarcinoma following imperforate anus: A rare case report. EJMCR. 2020; 11 (August 2020): 252-254. doi:10.24911/ejmcr/173-1582698308

Web Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. Rectal adenocarcinoma following imperforate anus: A rare case report. https://ejmcr.com/articles/1401 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1582698308

AMA (American Medical Association) Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. Rectal adenocarcinoma following imperforate anus: A rare case report. EJMCR. 2020; 11 (August 2020): 252-254. doi:10.24911/ejmcr/173-1582698308

Vancouver/ICMJE Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. Rectal adenocarcinoma following imperforate anus: A rare case report. EJMCR. (2020), [cited December 25, 2024]; 11 (August 2020): 252-254. doi:10.24911/ejmcr/173-1582698308

Harvard Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon (2020) Rectal adenocarcinoma following imperforate anus: A rare case report. EJMCR, 11 (August 2020): 252-254. doi:10.24911/ejmcr/173-1582698308

Chicago Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. "Rectal adenocarcinoma following imperforate anus: A rare case report." 11 (2020), 252-254. doi:10.24911/ejmcr/173-1582698308

MLA (The Modern Language Association) Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon. "Rectal adenocarcinoma following imperforate anus: A rare case report." 11.August 2020 (2020), 252-254. Print. doi:10.24911/ejmcr/173-1582698308

APA (American Psychological Association) Style

Sarah Khan, Hina Abdul Qayoom Khan, Jan Muhammad Agha, Khursheed Ahmed Samo, Mujeeb Ur Rehman Abbasi, Amjad Siraj Memon (2020) Rectal adenocarcinoma following imperforate anus: A rare case report. , 11 (August 2020), 252-254. doi:10.24911/ejmcr/173-1582698308