| CASE REPORT |
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| Year : 2022 | Volume
: 55
| Issue : 2 | Page : 67-69 |
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Colonic perforation due to advanced prostate cancer in prostate-specific antigen era
Manoj Kumar1, Reva Shankar Sahu1, Ruchi Sinha2, Rajeev Nayan Priyadarshi3
1 Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
2 Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India
3 Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India
Correspondence Address:
Manoj Kumar
Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/fjs.fjs_238_21
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Prostate cancer presentation with perforation peritonitis due to rectal infiltration is quite rare. We report a 53-year-old man who presented with rectal growth resulting in bowel obstruction and transverse colon perforation, for which emergent exploration was performed. Postoperative evaluation with imaging, serum tumor markers, and histopathological examination including immunohistochemistry revealed it to be prostate cancer infiltrating to surrounding structures including the rectum. It is rare to observe such advanced cases in the era of serum prostate-specific antigen screening, but a high index of suspicion is necessary for adequate diagnosis and treatment, eventually benefitting the patient.
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