Secondary rectal linitis plastica as first manifestation of urinary bladder carcinoma (EN)

Papaziogas, Basilis

Katsinelos, Taxiarchis

Dimou, Eleni

Chatzimavroudis, Grigoris

Terzoudis, Sotiris

Lazaraki, Georgia

Katsinelos, Panagiotis

Kamperis, Eustathios

Atmatzidis, Stefanos

Beltsis, Athanasios

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.Keywords secondary rectal linitis plastica, urinary bladder carcinomaAnn Gastroenterol 2012; 25 (2): 173-175 (EN)

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Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Case Reports

Αγγλική γλώσσα

2012-04-11

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1067

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 25, No 2 (2012); 173 (EN)