Surgical management of digestive neoplasia with genital invasion

  • Diana Cristina Secara University Of Medicine and Pharmacy "Carol Davila" Bucharest
  • Monica Mihaela Cirstoiu University Of Medicine and Pharmacy "Carol Davila" Bucharest
  • Ana Veronica Uzunov Doctoral School of “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Keywords: digestive neoplasia, young patients, genital invasion

Image Description

Digestive neoplasia has a negative impact worldwide. Colorectal cancer is one of the most common types of cancer and the fourth cause of death [1,2]. The incidence of colorectal neoplasia is unusual in patients under 40, but in the last years, adolescents and young adults have shown an alarmingly increasing number of cases[3].

We present the case of a young woman, aged 22 years who presented to the Emergency Room for fetid vaginal discharge. During pelvic examination with a speculum, we noticed fetid secretion with necrotic epithelial fragments from the posterior vaginal wall. These fragments were sent to the histopathological exam. The vaginal examination revealed a tumour, seized 4/5 cm in the 1/3 middle of the vagina without infiltration, while the rectal examination revealed a tumour on the anterior rectal wall, sized 4/5 cm with no infiltration of the rectal mucous. The anatomopathological result showed a colorectal adenocarcinoma. Hence, the surgery team decided to perform proctosigmoidectomy (Figures 3 & 4). After this, the patient started chemo- and radiotherapy. Because of the genital invasion, the patient needed a second surgery which included a total hysterectomy with bilateral salpingo-oophorectomy (Figures 1 & 2). The images show the infiltrative sigmoid tumour which extended quickly to the posterior vaginal wall. Also, the recto-vaginal fistula can be observed.

The increased new cases of digestive neoplasia in young patients should be an alarm sign for every public health policy.


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How to Cite
Secara, D., Cirstoiu, M., & Uzunov, A. (2022). Surgical management of digestive neoplasia with genital invasion. Medical Image Database, 5(1), 7-8.