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Case Report
Rectal perforation secondary to carcinosarcoma of gynecological origin
1 Acute Surgical Unit, The Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia
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Natalie Quarmby
Acute Surgical Unit, The Canberra Hospital, Yamba Drive, Garran, ACT 2605,
Australia
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Article ID: 100116Z12NQ2023
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Quarmby N, Balasooriya J. Rectal perforation secondary to carcinosarcoma of gynecological origin. J Case Rep Images Surg 2023;9(1):4–8.ABSTRACT
Introduction: Carcinosarcoma is an aggressive, rare tumor containing both epithelial and stromal elements that can be found in the female genital tract. Colorectal perforation resulting from this is a highly unusual occurrence, with poor prognosis for affected patients.
Case Report: This is the case of an 86-year-old lady who presented with a history of rectal bleeding, abdominal distention and recent unintentional weight loss. She was subsequently found to have a large rectal perforation with associated abscess secondary to a new diagnosis of a rare, high grade carcinosarcoma of ovarian or gynecological tract origin. Following a trial of conservative management, the patient underwent formation of a colostomy and was palliated post-operatively due to severe aspiration pneumonia.
Conclusion: While perforation of the colon or rectum secondary to ovarian or gynecological malignancy including carcinosarcoma is rare, it is an important diagnosis to consider in patients who present with known or suspected malignancy and associated features of sepsis.
Keywords: Carcinosarcoma, Gynecological malignancy, Rectal perforation
SUPPORTING INFORMATION
Author Contributions
Natalie Quarmby - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Janaka Balasooriya - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
AcknowledgmentsDr Alexander Borecki, Pathology Department, The Canberra Hospital, Yamba Drive Garran, ACT 2605.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient next of kin for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Natalie Quarmby et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
