Rectal Mass: Causes & Reasons

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Possible Causes for Rectal Mass

Carcinoma of the Rectum

The lesions appeared as indurated, ulcerated rectal masses that resembled carcinoma on endoscopic examination. [ncbi.nlm.nih.gov]

A transrectal ultrasound and CT scan of the abdomen revealed a big rectal mass with transmural affection and possible involvement of the lymph nodes. [ncbi.nlm.nih.gov]

On digital rectal examination a palpable mass was noted. [jgo.amegroups.com]

Fecal Impaction

Digital rectal examination disclosed neither palpable mass nor stool in rectum. Computed tomography revealed "coffee bean" sign and "whirl" sign. [ncbi.nlm.nih.gov]

The rectal exam will reveal a hard mass of stool in the rectum.If there has been a recent change in your bowel habits, your doctor may recommend a colonoscopy to evaluate [medigoo.com]

The mass was present while examining the patient in multiple positions. Rectal examination was significant for the presence of hard stool. [aafp.org]

Anorectal Abscess

Patients with an anal abscess present with anorectal pain, a palpable tender mass on digital rectal examination, and fever in more advanced cases. [amboss.com]

Rectal examination reveals an exquisitely painful mass in the left lateral position. A full rectal examination is impossible due to the pain. [mhmedical.com]

[…] sitting and defecation Fistulas: Purulent drainage (from anal canal or surrounding perianal skin) Pain during defecation Digital rectal examination: fluctuant, indurated [amboss.com]

Thrombosed Hemorrhoids

mass (thrombosed external hemorrhoids are always painful) A grade IV internal hemorrhoid associated with a thrombosed external hemorrhoid Known severe coagulopathy Hemodynamic [emedicine.medscape.com]

After the topical anesthesia has taken effect, complete the digital rectal exam, looking for internal hemorrhoids and evidence of rectal abscesses or other masses. [ncemi.org]

[…] excision in the emergency department (ED) include the following: Any concern that the lesion may be something other than a thrombosed external hemorrhoid, such as a painless rectal [emedicine.medscape.com]

Villous Adenoma of the Colon

Pallor due to occult bleeding Abdominal tenderness Bright red blood on digital rectal examination Rectal mass on digital rectal examination Laboratory Findings Laboratory [wikidoc.org]

Digital rectal examination is important in order to feel for a rectal mass, its location and relationship to the anal sphincters, its fixity to adjacent structures and to [surgwiki.com]

PATHOLOGY • Malignant potential: Lesions < 1 cm (5%), 1-2 cm (10%), > 2 cm (53%) CLINICAL ISSUES • Asymptomatic, diarrhea, pain, rectal bleeding, or melena • Lesion closer [radiologykey.com]

Perianal Abscess

Patients with an anal abscess present with anorectal pain, a palpable tender mass on digital rectal examination, and fever in more advanced cases. [amboss.com]

Symptoms The most common symptoms of an anal and rectal abscess include: Redness, swelling, tenderness, or a mass around the anus Anorectal pain Fever Rectal bleeding Painful [westvalleycrs.com]

A deeper abscess can be diagnosed by feeling a tender, often fluctuant mass internally on digital rectal exam or by imaging studies. [aischannel.com]

Internal Hemorrhoids

Proctoscopy and/or a flexible sigmoidoscopy are recommended to evaluate for rectal masses or proctitis. [journals.lww.com]

masses, increased straining at stool often related to low fiber diet, prolonged sitting at stool, persistent diarrhea, ascites There is controversy whether uncomplicated [pathologyoutlines.com]

mass covered with skin as opposed to rectal mucosa Skin tags No bleeding; history of resolved Tags visualized around anus covered hemorrhoids with normal skin, not mucosa [aafp.org]

Proctitis

The colonoscopy showed a nodular ulcerated lesion in the rectum suggestive of rectal malignancy, but biopsies from rectal mass did not reveal malignancy. [ncbi.nlm.nih.gov]

We report a case history of a bisexual male who presented to us with rectal bleeding. [ncbi.nlm.nih.gov]

A rectal biopsy was positive for C. trachomatis by polymerase chain reaction assay, and a diagnosis of C. trachomatis proctitis was made. [ncbi.nlm.nih.gov]

Intussusception

Other findings include RUQ mass, fever, and diarrhea. A rectal exam may demonstrate the mass and will also have the presence of blood and mucus on the glove. [pedclerk.bsd.uchicago.edu]

Upper rectal intussusception caused by a giant rectal lipoma. Due to the large size of the polyp, an endoscopic polypectomy could not be performed. [ncbi.nlm.nih.gov]

On rectal examination, the prolapsed was an irregular soft mass non-contiguous with the anus. [casesjournal.biomedcentral.com]

Polyps

When they occur, symptoms include rectal bleeding, bloody stools, mucous discharge, mass, protrusion from the anus, and abdominal pain. [annapoliscolon.com]

Rectal polyps are usually not associated with symptoms. [annapoliscolon.com]

How are rectal polyps diagnosed? Many rectal polyps can also been diagnosed in the office on digital rectal exam or flexible sigmoidoscopy. [annapoliscolon.com]

Anal Fissure

[…] defecation Anal stenosis Partially obstructing rectal masses Rectal prolapse : The rectal prolapse may be either external or internal. [web.archive.org]

Pain is usually absent, and rectal bleeding is inconsistent. An external or internal mass may be palpable. Some lesions are so soft that they are missed on palpation. [web.archive.org]

Causes of constipation that may be defined on rectal examination include the following: Anal fissure, particularly in children who retain their feces in order to avoid painful [web.archive.org]

Anal Stenosis

The cervix is easily palpable, and tampons should not be mistaken for rectal masses. [glowm.com]

Deeper abscesses may be palpated as a tender boggy mass on digital rectal exam; however, the exam may be deceivingly unremarkable. [glowm.com]

On examination, superficial abscesses will be indurated, erythematous, tender masses. [glowm.com]

Foreign Body

A foreign body was found on rectal examination but was not visible. [nejm.org]

Abdominal examination revealed a mass and the presence of peritoneal signs. There was no evidence of trauma. [nejm.org]

Tubo-Ovarian Abscess

[…] right pelvic mass. [ncbi.nlm.nih.gov]

In physical examination, external genitalia were grossly normal and hymen was intact, but rectal examination revealed blind vagina of about 1 cm length and an ill-defined [ncbi.nlm.nih.gov]

Malignant Neoplasm

Intestinal obstruction, weight loss, and, in two patients, rectal bleeding with radiologic evidence of a mass lesion that involved the rectosigmoid were present at initial [ncbi.nlm.nih.gov]

Retroverted Uterus

Sometimes, a rectal examination will rule out a retroverted uterus versus a uterine mass. Sometimes, an ultrasound is the best tool for full diagnosis. [feministmidwife.com]

Pelvic Appendix

Still, rather contradictory I have to admit, if I can get the patient into a room, I’ll usually do a rectal exam looking for masses and blood (as inflammatory bowel disease [epmonthly.com]

Several authors report up to 50-80% of children with appendicitis have localized tenderness on rectal exam and that 25% will have a rectal mass. 145,146 Summary Ultimately [ahcmedia.com]

[…] tenderness 30-40 Cervical motion tenderness 30 Rigidity 12 Psoas sign 5-3 Obturator sign 5-8 Rovsing’s sign 5 Palpable mass < 5 Mean Temperature 37.9°C __________________ [ahcmedia.com]

Colitis Cystica Profunda

Localized colitis cystica profunda is a rare, benign disease of the lower gastro-intestinal tract, usually presenting as a rectal mass and characterized microscopically by [ncbi.nlm.nih.gov]

A case of colitis cystica profunda, the patient presenting with haematochezia and a rectal mass, is reported. [ncbi.nlm.nih.gov]

After this period she presented again intermittent hematochezia and a rectal mass that was surgically removed. The pathology report disclosed a colitis cystica profunda. [pesquisa.bvs.br]

Squamous Cell Carcinoma of Rectum

Physical examination revealed diffuse lower abdominal tenderness and a rectal mass. [karger.com]

Abdominal CT scan revealed a 7 cm irregular rectal mass with extra luminal compression to the rectosigmoid area, (figure 1). [jim.bmj.com]

Abdominal CT scan showed an irregular rectal mass with bulky pelvic and retroperitoneal adenopathy. [karger.com]

Ruptured Ectopic Pregnancy

A ruptured ectopic pregnancy is always an emergency. The key to successful treatment is early diagnosis, which is not always easy, mainly because typical presenting features may be absent. We report a case of a ruptured ectopic pregnancy that presented with a gastroenteritis illness together with hyperglycaemia,[…] [ncbi.nlm.nih.gov]

Anorectal Malignant Melanoma

The ano-rectal examination showed a brownish painful mass in the anal canal. [ncbi.nlm.nih.gov]

The patient complained of rectal bleeding, anal pain and a peri anal mass. [latunisiemedicale.com]

The presenting symptoms were bright red blood from the rectum (83%), rectal pain (33%), change in bowel habits (28%), rectal mass (22%), nonbloody rectal discharge (11%), [ascopost.com]

Rectal Lymphoma

Systemic "B" symptoms (ie, fever, night sweats, and/or weight loss), as well as a rectal mass, were present in all four. [ncbi.nlm.nih.gov]

In our case, the patient presented with a solitary mass in the rectum. Our case was diagnosed based on a rectal mass biopsy obtained for a prediagnosis of rectal cancer. [ncbi.nlm.nih.gov]

Physical examination showed a rectal mass; a biopsy specimen was not conclusive. An abdominoperineal resection was done. [annals.org]

Adenocarcinoma of the Rectum

Colonoscopy revealed an ulcerated mass 2 cm above the anal verge. After multiple biopsies an abdomino-perineal resection was performed for the rectal mass. [ncbi.nlm.nih.gov]

Per rectal examination was suggestive of a rectal mass. Histopathologic evaluation of the proctoscopy-guided biopsy specimen showed rectal adenocarcinoma. [ncbi.nlm.nih.gov]

On digital rectal examination a palpable mass was noted. [jgo.amegroups.com]

Solitary Rectal Ulcer Syndrome

The radiologic findings of S.R.U. were rectal stenosis (one with ulcer), polypoid rectal mass, and multiple sub-mucosal defects with shallow ulcers. [ncbi.nlm.nih.gov]

Patients with solitary rectal ulcer syndrome (SRUS) frequently present with a mass that can be misinterpreted as cancer. [ncbi.nlm.nih.gov]

A 15-year-old boy with Marshall-Smith syndrome presented with increased frequency and urgency of stooling, hematochezia, and rectal pain. [ncbi.nlm.nih.gov]

Rectal Obstruction

The stool size may appear narrow so that it can be passed around the rectal mass. [emedicinehealth.com]

The patient underwent elective outpatient colonoscopy that revealed a rectal mass at 8 cm from the rectal sphincters, causing marked stenosis. [panafrican-med-journal.com]

[…] colonoscopy that revealed a rectal mass at 8 cm from the rectal sphincters, causing marked stenosis. [ncbi.nlm.nih.gov]

Squamous Cell Carcinoma of the Anus

rectal tumor (one patient), or a cystic extramucosal rectal mass (one patient). [ncbi.nlm.nih.gov]

History A 72 year-old female presented with what was believed to be a right lateral rectal mass. [mplnet.com]

Positron emission tomography-computed tomography (PET/CT) was performed for staging, revealing hypermetabolic activity in the primary anal/rectal mass along with apparent [jgo.amegroups.com]

Autoimmune Disease of the Gastrointestinal Tract

A family history of ovarian cancer Rectal masses Anemia Rectal bleeding Unintentional and unexplained weight loss A family history of bowel cancer Aged >60 years change in [thermofisher.com]

[…] procedures Endoscopic procedures Biopsies The potential for GI cancer should prompt referral to secondary care in patients that present the following red flag symptoms: Abdominal masses [thermofisher.com]

Anal Leiomyosarcoma

Case report: An 80-year-old male presented with a complaint of bright red blood per rectum, constipation, and a subjective history of a rectal mass diagnosed 3 years prior [pubmed.ncbi.nlm.nih.gov]

Pelvic magnetic resonance imaging showed a rectal mass with a parietal attachment that invaded the fascia and his perirectal tissue. [jmedicalcasereports.biomedcentral.com]

Unfortunately, histological analysis of a superficial biopsy of a rectal leiomyosarcoma may not be reflective of the entire tumor mass, and a diagnosis is based essentially [jmedicalcasereports.biomedcentral.com]

Kaposi Sarcoma of the Rectum

Rectal digital examination detected an irregular and painful rectal mass with rough consistence. [scielo.isciii.es]

Prostate Stromal Sarcoma

palpable rectal mass Includes phyllodes tumors (like those of the breast) Essential features Cellular pleomorphism exceeding that of stromal proliferation of undetermined [pathologyoutlines.com]

[…] or hematospermia, and a palpable rectal mass. [emedicine.medscape.com]

Pelvic transabdominal ultrasound revealed an enlarged heterogeneous prostate mass. [academic.oup.com]