Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound
Recurrence of vaginal squamous cell carcinoma (SCC) involving the rectum is extremely rare and usually results from direct spread of the primary tumor. Such cases often present with pelvic metastases and can mimic infectious or inflammatory conditions, complicating diagnosis and delaying treatment....
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325001591 |
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| author | Taha Bin Arif, MD Tahir Shaikh, MD |
| author_facet | Taha Bin Arif, MD Tahir Shaikh, MD |
| author_sort | Taha Bin Arif, MD |
| collection | DOAJ |
| description | Recurrence of vaginal squamous cell carcinoma (SCC) involving the rectum is extremely rare and usually results from direct spread of the primary tumor. Such cases often present with pelvic metastases and can mimic infectious or inflammatory conditions, complicating diagnosis and delaying treatment. While computed tomography scans are commonly used for diagnosis, they may be misleading. Endoscopic ultrasound (EUS) is crucial for accurately assessing rectal and perirectal lesions. We present the case of a 60-year-old female with a history of vaginal SCC who presented with refractory constipation. Initial imaging suggested a perirectal abscess, but a definitive evaluation with EUS revealed rectal wall thickening and a lesion involving the submucosa. Biopsy confirmed high-grade squamous intraepithelial neoplasia consistent with recurrent vaginal SCC. This case highlights the critical role of EUS in diagnosing recurrent pelvic malignancies with rectal involvement. |
| format | Article |
| id | doaj-art-93f3357f67c641f784c56ebf50099a12 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-93f3357f67c641f784c56ebf50099a122025-08-20T03:09:00ZengElsevierRadiology Case Reports1930-04332025-06-012062723272810.1016/j.radcr.2025.02.060Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasoundTaha Bin Arif, MD0Tahir Shaikh, MD1Department of Internal Medicine, Sinai Hospital of Baltimore, The George Washington University Regional Medical Campus, Baltimore, MD, USA; Corresponding author.Department of Gastroenterology and Hepatology, Sinai Hospital of Baltimore, The George Washington University Regional Medical Campus, Baltimore, MD, USARecurrence of vaginal squamous cell carcinoma (SCC) involving the rectum is extremely rare and usually results from direct spread of the primary tumor. Such cases often present with pelvic metastases and can mimic infectious or inflammatory conditions, complicating diagnosis and delaying treatment. While computed tomography scans are commonly used for diagnosis, they may be misleading. Endoscopic ultrasound (EUS) is crucial for accurately assessing rectal and perirectal lesions. We present the case of a 60-year-old female with a history of vaginal SCC who presented with refractory constipation. Initial imaging suggested a perirectal abscess, but a definitive evaluation with EUS revealed rectal wall thickening and a lesion involving the submucosa. Biopsy confirmed high-grade squamous intraepithelial neoplasia consistent with recurrent vaginal SCC. This case highlights the critical role of EUS in diagnosing recurrent pelvic malignancies with rectal involvement.http://www.sciencedirect.com/science/article/pii/S1930043325001591Endoscopic ultrasoundRectumMetastasesSquamous cell carcinomaVagina |
| spellingShingle | Taha Bin Arif, MD Tahir Shaikh, MD Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound Radiology Case Reports Endoscopic ultrasound Rectum Metastases Squamous cell carcinoma Vagina |
| title | Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound |
| title_full | Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound |
| title_fullStr | Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound |
| title_full_unstemmed | Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound |
| title_short | Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound |
| title_sort | recurrent vaginal squamous cell carcinoma mimicking peri rectal abscess the role of endoscopic ultrasound |
| topic | Endoscopic ultrasound Rectum Metastases Squamous cell carcinoma Vagina |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325001591 |
| work_keys_str_mv | AT tahabinarifmd recurrentvaginalsquamouscellcarcinomamimickingperirectalabscesstheroleofendoscopicultrasound AT tahirshaikhmd recurrentvaginalsquamouscellcarcinomamimickingperirectalabscesstheroleofendoscopicultrasound |