Metastatic rectal adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Chronic constipation and rectorrhagia.

Patient Data

Age: 65 years
Gender: Male

Asymmetrical increased wall thickness due to tumoral infiltration is evident in the mid-rectum, accompanied by mild perirectal fat stranding. Mesorectal fascia is focally infiltrated in the anterior aspect.

Innumerable low-enhancing masses are seen in the liver, inferring metastases.

Several cortical and peripelvic cysts are seen in the right kidney.

The prostate gland is enlarged.

Case Discussion

Pathology-proven rectal adenocarcinoma with focal mesorectal fascia involvement and diffuse hepatic metastasis.

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