RESUMEN
Introduction: Primary linitis of the rectum is a rare carcinoma characterised by the difficuly to be diagnosed Histologically
Case report: A 25 years old female patient, presented with a subocclusive syndrome, secondary to an anal stenosis at 6 cm from the anal margin, of an inflammatory look. Surgical exploration showed pseudo inflammatory rectal tumour, colstomy was performed. Analysis of surgical biopsy did not find tumoral cells. Eight months later, stenosis progressed and invated the anal margin and the recto- vaginal partition. TDM showed and abdomino- pelvic mass. The pathological biopsy study, found a signet cell carcinoma. The patient died six months later
Discussion: The discordance between the histological study of different biopsies of stenosis, with the clinical picture which did not evoke an intestinal inflammatory diseace, prevented us to do an radical sollution for our patient. In spite many profound surgical biopsises which had been done, diagnosis of linitis did not proved
Conclusion: In cases of rectal stenosis of inflammatory picture which is not supported with a convinced anatomopathological arguments we must think of specific colitis