Carcinoma rectosigmoid

1. RECTOSIGMOID GROWTH
Patient name: Mr. Sugumar, 71y/M
ESIC. Number : 300118
SST – Eligible

2. History
Mr.Sugumar ,71 yr/M Patient came with c/o Obstipation for 3days
H/O Abdominal pain Left hypochondriac and left loin pain for 2day
No H/O vomiting
No H/O malena, haematochezia

3. Examination
 Local Examination of abdomen
Abdomen distended, BS sluggish,
Tenderness present in epigastric, left hypochondrium, left loin.
No guarding, no rigidity.
 No palpable mass, no organomegaly
 P/R roomy rectum, normal fecal stain present.

4. Investigations
 X ray abdomen erect and add supine – multiple air fluid levels noted
 CECT ABDOMEN AND PELVIS DONE
Rectosigmoid growth, multiple peritoneal and omental deposits,
lymphnodes, significant ascitis, B/L Pleural effusion, lung nodule present

5.  Diagnosis : Acute intestinal obstruction , Rectosigmoid growth.
 Procedure done: Emergency exploratory laparotomy proceded to diversion
transverse colostomy done
 Ometal, peritoneal biopsies and peritoneal nodules sent for HPE , ascitic
fluid for cytology. Report awaited.

6. 
 Thank you