Abstract
A 74-year-old white man had a total colectomy for well-differentiated adenocarcinoma of the rectum (B2) at 7 cm associated with many adenomatous and villoadenomatous polyps and a cecal carcinoma in situ and metastases to the liver. Due to the liver metastases, the operative procedure omitted the perineal portion and left a anorectal stump (Hartman pouch) in the pelvis. The patient was placed on chemotherapy for 1 year. Three years later, he began complaining of pelvic pain which over the next 6 months became refractive to an infusion of morphine sulfate. A biopsy of the anorectal remnant 6 months previously, at the onset of pelvic pain, showed no tumor, but now there was a tender rectal mass which was a new palpatory finding and on computed tomography (CT) was seen to invade the distal sacrum.
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© 1994 Springer-Verlag Berlin Heidelberg
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Dobelbower, R.R., Battle, J.A., Gupta, S. (1994). Pelvic Pain. In: Kagan, A.R., Steckel, R.J. (eds) Practical Approaches to Cancer Invasion and Metastases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84885-8_33
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DOI: https://doi.org/10.1007/978-3-642-84885-8_33
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-84887-2
Online ISBN: 978-3-642-84885-8
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