A Case of Rectal Cancer Associated with Pyometra which was Difficult to Diagnosis of the Preoperative Stage of Invasion

Makoto Okazaki, Jun Yamamura, Yasuhito Kawasaki, Minoru Ohturu, Kiyoshi Kobayakawa, Seiji Yasuda, and Yoshitake Hayashi^*

Department of Surgery, Kobe Ekisaikai Hospital ^*First Department of Pathology of Kobe University

A 76-year-old woman was admitted to our hospital because of anal bleeding, and emergency sigmoid colostomy was performed for severe vomiting on admission. Abdominal CT scanning revealed a rectal carcinoma invading the uterus and urinary bladder, and although on judged the difficult case to operate, because of the patient's poor condition, we operated on her request. Pyometra was found at operation, and there was no evidence of invasion of the uterus or urinary bladder by the rectal cancer. Low anterior resection and hysterectomy were performed. This is an extremely rare case of a rectal cancer associated with pyometra.

Key words
pyometra, rectal cancer, wall invasion

Reprint requests
Makoto Okazaki Department of Surgery, Kobe Ekisaikai Hospital 6-2-5 Nakayamate, Tyuouku, Kobe, 650-0004 JAPAN

Accepted
October 31, 2000

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