1. Mr. X.Y.Z, a 42-year-old male, presented with abdominal pain, vomiting, distension and constipation. Examination found an abdominal mass and investigations confirmed rectal cancer. 2. Exploratory laparotomy revealed a 8cm rectosigmoid mass without metastases. A transverse colostomy and biopsy were performed. 3. The patient later underwent a low anterior resection, total mesorectal excision and double stapling anastomosis. The surgery was successful and the patient was discharged on post-op day 7.