Carcinoma rectum in adolescent male-An unusual presentation

Abstract

A 13 year old male presented with compliant of pain in abdomen, bloating and altered bowel habits since 3 to 4 months. He was cachexic, abdomen was distended and bowel sound were present but decreased. Detailed examination and investigatory workup was done. CT scan revealed mass in rectum near anal verge involving pelvic musculature and posterior wall of urinary bladder. Sigmoid colostomy with incision biopsy which was suggestive of signet ring cell adenocarcinoma. Chemotherapy and radiotherapy was given and patient was periodically followed up. But the tumor was aggressive in nature and patient was put on palliative chemotherapy. The patient could not tolerate chemotherapy and lost his life to cancer within 2 years of diagnosis.