TY - JOUR AU - Diana Secara AU - Monica Cirstoiu AU - Ana Uzunov PY - 2022/06/03 Y2 - 2024/03/29 TI - Surgical management of digestive neoplasia with genital invasion JF - Medical Image Database JA - MID VL - 5 IS - 1 SE - Articles DO - 10.33695/mid.v5i1.129 UR - http://www.medicalimage.ro/index.php/MID/article/view/129 AB - 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. ER -