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Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2021 July-August;180(7-8):391-4
DOI: 10.23736/S0393-3660.20.04400-9
Copyright © 2020 EDIZIONI MINERVA MEDICA
language: English
Rectal signet ring cell carcinoma presenting as stercoral ulceration and fecal incontinence
Eric M. SIELOFF 1 ✉, Tooba TARIQ 2, Sachin GOYAL 3, Murray EHRINPREIS 3
1 Homer Stryker School of Medicine, Department of Internal Medicine, Western Michigan University, Kalamazoo, MI, USA; 2 Department of Geriatrics, Indiana University School of Medicine, Indianapolis, IN, USA; 3 Division of Gastroenterology, Department of Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, MI, USA
Stercoral ulcerations are usually the result of pressure necrosis within the colorectum and often present with symptoms including severe constipation, hematochezia and abdominal pain. Endoscopic evaluation involves collecting tissue biopsies to evaluate for possible underlying malignancy. We present the case of a woman with stercoral ulceration and unusual symptoms of fecal incontinence and hematochezia for which endoscopic biopsies revealed a primary signet ring cell carcinoma of the rectum.
KEY WORDS: Rectal neoplasms; Fecal incontinence; Carcinoma, signet ring cell