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Bladder carcinoma presenting with rectal obstruction
T J Stillwell1, C C Rife, M M Lieber
1Department of Urology, Mayo Clinic, Rochester, Minnesota.
Urology
|November 1, 1989
Summary
Bladder carcinoma can cause rectal obstruction through local invasion. Treatment options for these rare cases include surgery, radiation, chemotherapy, laser therapy, and transrectal tumor resection.
Area of Science:
- Oncology
- Gastroenterology
- Urology
Background:
- Bladder carcinoma can invade surrounding structures.
- Rectal obstruction is a rare but serious complication of genitourinary malignancies.
Observation:
- Two cases of bladder carcinoma causing annular rectal constriction are presented.
- Local invasion mechanism involves penetration of the rectovesical fascia and circumferential rectal spread.
Findings:
- Genitourinary malignancies, including bladder and prostate cancer, can spread to the rectum.
- This invasion leads to obstructive symptoms due to annular constriction.
Implications:
- Understanding the mechanism of invasion is crucial for diagnosis and treatment.
- Multimodal treatment strategies, including novel techniques, are necessary for managing rectal obstruction caused by bladder carcinoma.