Open Access
CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2013; 05(06): 345-350
DOI: 10.4103/1947-489X.210568
Case Report

Mucinous cystadenocarcinoma in chronic anorectal fistula: Clinical and MRI characteristics

Nagat Amar
1   Department of General Surgery, Tripoli Central Hospital, Tripoli, Libya
,
Mustafa Sawed
1   Department of General Surgery, Tripoli Central Hospital, Tripoli, Libya
,
Ali Alforjany
2   Department of Diagnostic Radiology, Tripoli Central Hospital and Faculty of Medicine, Tripoli University, Tripoli, Libya
,
Almabrouk Alhousainy
2   Department of Diagnostic Radiology, Tripoli Central Hospital and Faculty of Medicine, Tripoli University, Tripoli, Libya
› Author Affiliations
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A 54 years old Libyan man presented with a long history of perineal mass, induration and passage of pus and purulent secretion; sometimes mixed with blood. It became increasingly painful over a short period of a few days prior to presentation. He had had a fistula-in-ano for ten years treated surgically 8 years previously. His past medical history included type 1 diabetes mellitus. He underwent digital rectal examination under anesthesia which disclosed edematous external skin tags, with induration of the posterior margin of the anal canal, multiple biopsies and scrapings of the fistulous track were taken. Histological examination revealed mucinous adenocarcinoma. Colonoscopy was done and showed no abnormality. Clinical and MRI characteristics are illustrated and discussed.



Publication History

Received: 15 January 2013

Accepted: 11 July 2013

Article published online:
07 July 2022

© 2013. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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