Intraperitoneal Fecaloma associated with a locally advanced anal cancer - an unintended consequence of COVID 19

Abstract

Background: Tumours of the anal canal represent only 2,6% of the digestive system tumors, but their incidence has been increasing in the past few decades. The vast majority are squamous cell carcinomas. The most common presenting symptom is bleeding, but may also present with palpable mass, pain, or discharge and incontinence. Diagnosis of s suspicious mass on physical examination or anoscopy is confirmed with biopsy of the suspected mass, followed by imaging of the pelvis with MRI or CT to assess local extent and evaluate pelvic lymph nodes.Less than 20% of all patients present with unresectable disease or metastatic disease.