Rectal adenocarcinoma in an 8 year old girl. A case report

Rectal adenocarcinoma is rare in children. The patient described here is a 9-year-old girl presented with rectorrhagia. Her problem started since 3 months ago and she had been treated for infectious diarrhea. A colonoscopy was performed 3 months after beginning of the patient’s manifestation and a non-pedunculated polyp was noted and resected. After the colonoscopy signs and symptoms of peritonitis developed and in laparotomy a rectal perforation was noted and a biopsy from rectal mucosa carried out. The result of biopsy was adenocarcinoma and then a low anterior resection of rectum with protective ileostomy and chemotherapy performed. In the 15 months follow-ups the patient was alright without any clinical, radiological or laboratory signs or symptoms of tumoral recurrence. However rectal adenocarcinoma is rare but it should be considered in the differential diagnosis of intestinal problems.