Perforated Rectal Cancer Presenting With Symptoms of Sciatic Nerve Compression: A Case Report
J L O'Sullivan1, L Vu1, P Tan1
1Department of General Surgery, Royal Perth Hospital, Wellington Street, Perth, Washington, Australia.
This case study highlights a rare instance of advanced rectal cancer perforating into the sciatic notch, causing leg pain and falls. It emphasizes the diagnostic and management challenges of unusual colorectal cancer presentations.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Oncology
Background:
- Rectal cancer typically presents with changes in bowel habits or rectal bleeding.
- Locally advanced rectal cancer (LARC) signifies a tumor that has grown through the rectal wall.
Observation:
- A patient presented with atypical symptoms of lower limb pain and recurrent falls.
- Imaging revealed perforation of LARC into the greater sciatic notch.
Findings:
- The perforation led to significant neurological and functional deficits.
- Diagnosis was delayed due to the unusual presentation of colorectal cancer.
Implications:
- This case underscores the importance of considering rare presentations in colorectal cancer diagnosis.
- Management requires a multidisciplinary approach for complex cases involving anatomical invasion.
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