Recurrent rectal tumour: localization using CT-guided percutaneous 'breast coil' placement prior to surgery

A 58-year-old man presented with rectal tumour recurrence 5 years following abdomino-perineal resection for rectal cancer. As the recurrent lesion was small and surrounded by fibrotic tissue, it was felt necessary to localize the lesion prior to surgery. We describe the use of percutaneous CT-guided breast localization coil placement using a transgluteal approach for the pre-operative localization of such lesions in order to facilitate surgical removal.