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Rectal adenocarcinoma in an adult with imperforate anus at birth
  1. Rahul Amreesh Gupta1,
  2. Sanjay Nagral2,
  3. Dhaval Mangukiya2,
  4. Aabha Nagral3
  1. 1Department of Surgical Gastroenterology, Jaslok Hospital and Research Center, Mumbai, Maharashtra, India
  2. 2Department of Surgical Gastroenterology, Jaslok Hospital, Mumbai, Maharashtra, India
  3. 3Department of Gastroenterology, Jaslok Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Aabha Nagral, aabhanagral{at}


A 43-year-old man with imperforate anus surgically corrected at birth presented with bleeding per rectum and constipation. On investigations, there was an adenocarcinoma at 2 cm from anal verge involving mid and lower rectum. He underwent abdominoperineal resection. During surgery, he was found to have a rectourethral fistula. The relationship between imperforate anus, rectourethral fistula and carcinoma of rectum is disclosed.

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