Malignant rectal stricture

A male aged 56 years Chief Complaints Recurrent bleeding PR (x 2 months) Altered bowel habits Pain abdomen Loss of weight Physical Examination Normal Investigations Hb - 6.7 Sigmoidoscopy done for bleeding pr revealed rectal strixture Bx dome s/o Adeno Ca

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Submucosal fibrosis Narrowing the sigmoido-rectal sphincter Likely malignant Adv biopsy for hpe Surgical intervention will give the lease of life