Clinical report of pararectal mucinous carcinoma with clinical manifestation as anal fistula - a first case in Vietnam

ABSTRACT

Purpose: The authors present a case of pararectal mucinous carcinoma with clinical manifestation as anal fistula. Review of international literature and discussion about the diagnosis as well as it's treatment. Method and result: patient is a man of 59 year-old, suffering of para-rectal fistula over 3 years, treated by numerous operations without results. The diagnosis of para-rectal mucinous carcinoma was confirmed by second biopsy at ViÖt §øc hospital. He underwent an abdomino-perineal amputation of the rectum. Conclusion: Pararectal mucinous carcinoma is exceptional rare. The suggested symptoms as clinical features are: chronic abscess in the ischio-rectal fossae without internal opening, unusual gelatinous secretion. Pathological examination confirmed the diagnosis. The abdominno-perineal amputation of rectum is indicated.