A 6-year-old SF DSH was presented for evaluation of dyschezia because of a rectal stricture that was palpable on rectal palpation. Survey radiographs of the pelvis were within normal limits.
A 6-year-old SF DSH was presented for evaluation of dyschezia because of a rectal stricture that was palpable on rectal palpation. Survey radiographs of the pelvis were within normal limits.
Annular colonic mass. This is consistent with colonic carcinoma, possible lymphoma, less likely granulomatous disease. This is obstructive. FNA are recommended for further information. No overt evidence of metastatic disease was noted.
The rectum in this patient presented an annular type lesion that measured approximately 0.9 cm with an obstructive stasis pattern. The wall appeared echogenic and remodeled with loss of detail. This is consistent with carcinoma, granulomatous disease or colonic lymphoma. Ultrasound-guided FNA are recommended if the sonographer is able to obtain a safe window without entering into the lumen. Otherwise, colonoscopy is recommended. The caudal aspect of the annular mass was not able to be visualized and therefore likely enters into the colorectal region. Therefore, surgical intervention would entail splitting the pelvis in order to remove the annular mass.
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Rectum – stricture, neoplasia, granulomatous reaction, focal perforation
Pelvic canal – neoplasia, granuloma, abscess
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