Document Detail

Obstructive perianal lesion in a 75-year-old man.
MedLine Citation:
PMID:  22802557     Owner:  NLM     Status:  MEDLINE    
A 75-year-old man presented with a fungating peri-anal mass which appeared malignant at presentation and required a defunctioning colostomy due to abdominal distension. Multiple biopsies were negative for malignancy and CT/MRI scans showed no malignant mass. A provisional diagnosis of prolapsed haemorrhoids was made and the mass was treated with sugar and charcoal dressings. There was a dramatic resolution of the mass with this treatment and the patient was discharged 1 month post-admission. The patient then underwent an elective haemorrhoidectomy by which time the mass had decreased to a perianal skin tag. The only clues in this case were the acute presentation of the mass, the fact that the mass had appeared post-defecation and that the patient had been diagnosed with haemorrhoids 2 years previously on colonoscopy. This case highlights the importance of evaluating all investigations and considering all differential diagnoses before embarking on definitive management.
Rudra Krishna Maitra; Thomas Pinkney; Sriram Subramonia; Austin G Acheson
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-07-13
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-17     Completed Date:  2013-12-02     Revised Date:  2014-07-16    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Anal Canal / pathology*
Anus Diseases / pathology*,  surgery
Colostomy / methods
Diagnosis, Differential
Hemorrhoids / pathology*,  surgery
Precancerous Conditions / pathology,  surgery
Treatment Outcome
Reg. No./Substance:

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