Summary
The difficulties encountered in the differential diagnosis of recto-sigmoid lesions are discussed. Close correlation is necessary between the clinical history and examination and the various diagnostic aids. Laparotomy may be required to establish the final diagnosis.
Detailed clinical reports and discussions of four cases are presented which gave rise to diagnostic difficulties:
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1.
A recto-rectal abscess in an older individual which was initially diagnosed by roentgenograms as rectal carcinoma.
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2.
An acquired megacolon which was confused clinically with carcinoma of the recto-sigmoid.
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3.
A perisigmoid appendiceal abscess confused clinically and roentgenologically with carcinoma of the recto-sigmoid.
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4.
A carcinoma of the recto-sigmoid with symptoms of progressive obstruction over a four year period which was confused with diverticulitis.
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From the Surgical Service, Harper Hospital.
Present address, Marshalltown, Iowa.
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Blaha, V.B., Saltzstein, H.C. Diagnostic difficulties in rectosigmoid lesions. A. J. D. D. 16, 206–213 (1949). https://doi.org/10.1007/BF03005027
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DOI: https://doi.org/10.1007/BF03005027