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Rectosigmoid obstruction caused by ovarian cancer
B G Taal1, R Steinmetz, F C Den Hartog Jager
1Department of Medicine, Netherlands Cancer Institute, Antoni van Leeuwenhoek Huis, Amsterdam.
Clinical Radiology
|March 1, 1990
Summary
Rectosigmoid stenosis affects 12% of ovarian carcinoma patients. Barium enema revealed severe narrowing in most cases, often treatable with combined therapy, avoiding surgery.
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- Ovarian carcinoma can lead to gastrointestinal complications.
- Rectosigmoid stenosis is a potential complication in ovarian cancer patients.
Purpose of the Study:
- To investigate the incidence and characteristics of rectosigmoid stenosis in ovarian carcinoma patients.
- To evaluate the radiological findings and treatment outcomes for this condition.
Main Methods:
- Retrospective analysis of 379 ovarian carcinoma patients.
- Barium enema examinations for 27 patients with suspected rectosigmoid stenosis.
- Classification of stenosis types and assessment of associated features.
Main Results:
- Rectosigmoid stenosis was detected in 12% (44/379) of patients.
- Barium enema showed severe stenosis in 23 cases, with varied lengths and types.
- Desmoplastic reaction was common, but direct tumor invasion was rare.
Conclusions:
- Rectosigmoid stenosis is a significant complication of ovarian carcinoma.
- Radiological features can help characterize the stenosis.
- Combined therapy often leads to beneficial responses, minimizing the need for surgical intervention.