Rectal-mass: Causes & Reasons

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Possible Causes for rectal mass

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]

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]

Anorectal Abscess

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

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]

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

Perianal Abscess

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

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]

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]

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]

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 to [radiologykey.com]

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]

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]

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]

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]

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]

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]

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]

Squamous Cell Carcinoma of Rectum

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

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

MRI of the pelvis demonstrated a 5 cm mass with possible extension beyond the anterior rectal wall. [academic.oup.com]

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]

Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. [doi.org]

Metabolic Syndrome and Risks of Colon and Rectal Cancer: the European Prospective Investigation into Cancer and Nutrition Study. [doi.org]

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]

Malignant Anorectal Melanoma

Physical examination Digital rectal examination revealed a nodular mass just above the dentate line. [wjgnet.com]

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

A digital rectal examination, following CCRT, revealed a hard cauliflower-shaped mass (size, 2.0 2.0 cm) without any bloodstaining observed on the finger-cot. [spandidos-publications.com]

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]

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]

Although the endoscopic appearance of rectal tonsils varies among types such as polypoid (38%), sessile (33%), and nodule or mass (29%), most rectal tonsils appear to be covered [e-ce.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]

Complications and outcomes following rectal pull-through surgery in dogs with rectal masses: 74 cases (2000–2013). J Am Vet Med Assoc. 2014;245(6):684–695. 5. [vin.com]

Rectal Obstruction

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]

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

Constipation

[…] lesions Rectal prolapse or rectocele Other Irritable bowel syndrome Pregnancy TABLE 2 Causes of Secondary Constipation Endocrine and metabolic diseases Diabetes mellitus [aafp.org]

A physical examination should involve at least an abdominal exam and rectal exam. [en.wikipedia.org]

A rectal examination should be done not only for fissures, strictures, blood, or masses (including fecal impaction) but also to evaluate anal resting tone (the puborectalis [merckmanuals.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]

Abstract quote Patients with solitary rectal ulcer syndrome (SRUS) frequently present with a mass that can be misinterpreted as cancer. [thedoctorsdoctor.com]

Ovarian Cystic Teratoma

We report an unusual case of a benign ovarian cystic teratoma presenting as a rectal mass that was managed surgically using radical resection by a multidisciplinary team. [ncbi.nlm.nih.gov]

Lee YC, Abulfia O, Montalto N et al, Malignant Transformation of an Ovarian Mature Cystic Teratoma presenting as a rectal mass ; Gynecol Oncol 1999 Dec ; 75 (3): 499-503. [ijri.org]

mass: a case report. ( 21943447 ) Rajaganeshan R....Selvasekar C.R. 2011 18 Intestinal obstruction due to bilateral ovarian cystic teratoma in a pregnant woman: report of [malacards.org]

Iron Deficiency

Rectal examination is seldom helpful unless there is rectal bleeding or tenesmus. Postpone until colonoscopy. [patient.info]

Examination Examine the abdomen for abdominal masses, organomegaly, lymphadenopathy and any other features of intra-abdominal disease. [patient.info]

Anemia

[…] colorectal carcinoma should be sought—that is, one affected first-degree relative Examination Examination usually contributes little but may reveal a relevant abdominal mass [doi.org]

Rectal examination is seldom contributory in patients with IDA, and, in the absence of symptoms such as rectal bleeding and tenesmus, may be postponed until colonoscopy unless [doi.org]

Ovarian Cyst

Malignant transformation of an ovarian mature cystic teratoma presenting as a rectal mass. Gynecol Oncol. 1999;75(3):499–503. 41. [bmccancer.biomedcentral.com]

Juvenile Polyp

The most common presenting symptom was hematochezia, followed by prolapsing rectal mass and diarrhea. [ncbi.nlm.nih.gov]

[…] bleeding, a prolapsing rectal mass, and mucopurulent stools. [go.galegroup.com]

They also may present with a prolapsing rectal mass or mucopurulent stools, the latter of which were experienced by our patient. [consultant360.com]

Exostosis

Upon rectal examination, the tumor filled out the ischiorectal cavity, with compression of the left lateral wall of the rectum. [scielo.br]

Upon physical examination, the patient exhibited an extensive, hard tumoral mass with a fluted surface measuring 30x28 cm, involving the gluteal groove and extending to the [scielo.br]