Document Detail

Secondary rectal linitis plastica as first manifestation of urinary bladder carcinoma.
MedLine Citation:
PMID:  24714188     Owner:  NLM     Status:  Publisher    
Secondary rectal linitis plastica is a very rare malignancy with poor prognosis. Diagnosis is difficult because of nonspecific clinical and endoscopic findings and negative biopsies in most cases owing to the fact that the mucosa is frequently unaffected. We herein describe a 68-year-old man who presented with a six-month history of tenesmus and constipation. Endoscopy revealed a narrow distal rectum with an indurated, cobblestone appearance of mucosa. Multiple biopsies and fine-needle aspiration were negative for malignancy. Abdominal MRI and transrectal ultrasonography showed findings compatible with rectal linitis plastica. He underwent rectal extirpation with total cystectomy and lymph nodes dissection. Histology demonstrated secondary rectal linitis plastica due to a poorly differentiated urinary bladder carcinoma. We emphasize the endoscopic and endosonographic features and the difficulty to establish a preoperative diagnosis of secondary rectal linitis plastica.
Panagiotis Katsinelos; Basilis Papaziogas; Grigoris Chatzimavroudis; Taxiarchis Katsinelos; Eleni Dimou; Stefanos Atmatzidis; Athanasios Beltsis; Sotiris Terzoudis; Eustathios Kamperis; Georgia Lazaraki
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Publication Detail:
Journal Detail:
Title:  Annals of gastroenterology : quarterly publication of the Hellenic Society of Gastroenterology     Volume:  25     ISSN:  1108-7471     ISO Abbreviation:  Ann Gastroenterol     Publication Date:  2012  
Date Detail:
Created Date:  2014-4-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121847     Medline TA:  Ann Gastroenterol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  173-175     Citation Subset:  -    
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