Abstract
Faecal fistula presents a major surgical challenge especially when it occurs in the setting of malignancy. In the presence of sepsis and malnutrition, mortality is high. Presented is a 30-year-old male patient with a huge ulcerated buttock mass of a year’s duration. He could defaecate normally but later noticed passage of air and faeces through openings in the gluteal mass. Clinical, radiological, histology and immunohistochemistry revealed metastatic fistulous gluteal mass from rectal adenocarcinoma. The outcome was fatal with the onset of sepsis. Early presentation, diagnosis and treatment is advocated for improved outcome. Rectal carcinoma should be considered as a differential diagnosis of gluteal masses.
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More From: Journal Africain du Cancer / African Journal of Cancer
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