Rectal Adenocarcinoma Misdiagnosed with Infectious Diarrhea in an 8 Year Old Girl

Nahvi, H; Tanzifi, P; Rozeh, ME; Gorji, M; Khosravi, R

Rectal Adenocarcinoma Misdiagnosed with Infectious Diarrhea in an 8 Year Old Girl

Document Type : Case Report

Authors

H Nahvi ¹

P Tanzifi ²

ME Rozeh ³

M Gorji ⁴

R Khosravi ⁵

¹ Assistant Professor, Department of Pediatric Surgery, Tehran University of Medical Sciences, Children's Medical Center Hospital

² Assistant Professor, Department of Pathology, Tehran University of Medical Sciences, Children's Medical Center Hospital

³ Pediatric gastroenterologist, Zanjan University of Medical Sciences

⁴ Assistant Professor of Pediatric Diseases, Tehran University of Medical Sciences

⁵ Pediatric Surgeon, Tehran University of Medical Sciences, Children’s Medical Center, Tehran, Iran

Abstract

We present an 8-year-old girl presented with rectorrhagia that started since 3 months and misdiagnosed with infectious diarrhea. A few months later, colonoscopy revealed a non-pedunculated polyp and was resected. After the colonoscopy the patient had presentations of peritonitis and rectal perforation was noted in laparotomy. The result of rectal biopsy was adenocarcinoma. Surgery consultant decided to perform a low anterior resection of rectum, ileostomy and the treatment continued with chemotherapy. After 19 month’s follow-ups the patient was alright without any clinical, radiological or laboratory signs or symptoms of tumoral recurrence. As the manifestations of rectal adenocarcinoma are not specific, the clinicians should consider it in the differential diagnosis of gastrointestinal problems.

Keywords

Rectal Adenocarcinoma

Adenocarcinoma of Colon

Colorectal Cancer in Children

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