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DOI: 10.4103/1947-489X.210568
Mucinous cystadenocarcinoma in chronic anorectal fistula: Clinical and MRI characteristics

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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