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Case 45

Rectsigmoid stricture due to abdominoperitoneal spread of breast carcinoma

An elderly lady with a change in bowel habit

This lady presented with a history of change in bowel habit, and increasing difficulty opening her bowels. She had also been losing weight. She had had a mastectomy for breast carcinoma four years earlier, and a cholecystectomy 8 years ago. There was no other past history of note. She was referred for a barium enema.

Findings

There is a long tapering stricture of the upper rectum with no filling of the sigmoid colon. The mucosa is irregular. Further investigation confirmed extensive metastatic involvement of the peritoneum and retroperitoneum from her breast carcinoma. Peritoneal involvement is not uncommon late in the course of breast carcinoma.

Diagnosis

Rectsigmoid stricture due to abdominoperitoneal spread of breast carcinoma

Discussion

Further investigation confirmed extensive metastatic involvement of the peritoneum and retroperitoneum from her breast carcinoma. Peritoneal involvement is not uncommon late in the course of breast carcinoma.

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