Rectal Bleeding in the Clinic
ABSTRACT Anal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setti...
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| Veröffentlicht in: | Military medicine 2023-03, Vol.188 (3-4), p.e875-e877 |
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| container_issue | 3-4 |
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| container_title | Military medicine |
| container_volume | 188 |
| creator | Mangalindan, Kristin E Bush, Allison Nguyen, Nhu An |
| description | ABSTRACT
Anal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setting of missed and misdiagnosed digital rectal exams in an otherwise low-risk patient. This case highlights the importance of maintaining a broad differential diagnosis for hematochezia and the utility of thorough physical exams. |
| doi_str_mv | 10.1093/milmed/usab211 |
| format | Article |
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Anal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setting of missed and misdiagnosed digital rectal exams in an otherwise low-risk patient. This case highlights the importance of maintaining a broad differential diagnosis for hematochezia and the utility of thorough physical exams.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.1093/milmed/usab211</identifier><identifier>PMID: 34050675</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Anus Neoplasms ; Diagnosis, Differential ; Female ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - etiology ; Humans ; Middle Aged ; Pain ; Rectum</subject><ispartof>Military medicine, 2023-03, Vol.188 (3-4), p.e875-e877</ispartof><rights>Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2021. This work is written by (a) US Government employee(s) and is in the public domain in the US. 2021</rights><rights>Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2021. This work is written by (a) US Government employee(s) and is in the public domain in the US.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-e26c3af4cf57bfbe9651d0ce18058d0fcc6c986d8980ca15f5efe526b2d169383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34050675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mangalindan, Kristin E</creatorcontrib><creatorcontrib>Bush, Allison</creatorcontrib><creatorcontrib>Nguyen, Nhu An</creatorcontrib><title>Rectal Bleeding in the Clinic</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>ABSTRACT
Anal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setting of missed and misdiagnosed digital rectal exams in an otherwise low-risk patient. This case highlights the importance of maintaining a broad differential diagnosis for hematochezia and the utility of thorough physical exams.</description><subject>Anus Neoplasms</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Rectum</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1PwzAQRy0EoqWwsoEywpD2bMeuPULFl1QJCYHEZjnOGYycpMTJwH9PUdqZ6aTT-73hEXJOYU5B80UdYo3VYki2ZJQekCnVHHJJ-fshmQIwmRewFBNyktIXAC20osdkwgsQIJdiSi5e0PU2ZrcRsQrNRxaarP_EbBVDE9wpOfI2Jjzb3Rl5u797XT3m6-eHp9XNOnecFX2OTDpufeG8WJa-RC0FrcAhVSBUBd456bSSldIKnKXCC_QomCxZRaXmis_I1ejddO33gKk3dUgOY7QNtkMyTPBCUgAptuh8RF3XptShN5su1Lb7MRTMXxIzJjG7JNvB5c49lH__Pb5vsAWuR6AdNv_JfgH9RGtl</recordid><startdate>20230320</startdate><enddate>20230320</enddate><creator>Mangalindan, Kristin E</creator><creator>Bush, Allison</creator><creator>Nguyen, Nhu An</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230320</creationdate><title>Rectal Bleeding in the Clinic</title><author>Mangalindan, Kristin E ; Bush, Allison ; Nguyen, Nhu An</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-e26c3af4cf57bfbe9651d0ce18058d0fcc6c986d8980ca15f5efe526b2d169383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anus Neoplasms</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Rectum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mangalindan, Kristin E</creatorcontrib><creatorcontrib>Bush, Allison</creatorcontrib><creatorcontrib>Nguyen, Nhu An</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mangalindan, Kristin E</au><au>Bush, Allison</au><au>Nguyen, Nhu An</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rectal Bleeding in the Clinic</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2023-03-20</date><risdate>2023</risdate><volume>188</volume><issue>3-4</issue><spage>e875</spage><epage>e877</epage><pages>e875-e877</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>ABSTRACT
Anal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setting of missed and misdiagnosed digital rectal exams in an otherwise low-risk patient. This case highlights the importance of maintaining a broad differential diagnosis for hematochezia and the utility of thorough physical exams.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>34050675</pmid><doi>10.1093/milmed/usab211</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Military medicine, 2023-03, Vol.188 (3-4), p.e875-e877 |
| issn | 0026-4075 1930-613X |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Anus Neoplasms Diagnosis, Differential Female Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - etiology Humans Middle Aged Pain Rectum |
| title | Rectal Bleeding in the Clinic |
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