Lower GI 2017

Initial work-up

• DRE: Lesion starting from the anal canal , located to the

anterior left lateral and posterior wall of the rectum,

extending cranially for 5 cm, fix. Blood on the finger

• Pt’s Colonoscopy: Lesion starting from the anal canal

extending on the left lateral wall of the pelvis, extending for

6 cm , ulcerated and bleeding . Biopsies.

• Biopsy: Poor differentiated adenocarcinoma