Clinicopathological Study of Lower Gastrointestinal Tract Lesions in Per Rectal Bleeding Cases
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 3
Abstract
Background: Rectal bleeding occurs in 20% of population in India. Rectal bleeding is mainly a manifestation of lower gastrointestinal tract lesions, which means bleeding from a site distal to ligament of Treitz, including anal canal. Though it is a common symptom in the general population, the definitive diagnosis can not be arrived on clinical and radiological basis. Clinicopathological study plays an important role in the early diagnosis and proper management of cases of colonic lesions. Aim and Objectives: To study the histopathology of various lower gastrointestinal tract lesions in patients presenting with per rectal bleeding. To categorize different lower gastrointestinal tract lesions leading to per rectal bleeding and assess their proportions into Nonneoplastic and Neoplastic. To correlate the clinicopathological findings with age, sex, site of lesion, radiological & endoscopic findings. Materials and methods: A cross sectional prospective study on the histopathology of lower gastrointestinal tract lesions in 40 patients of per rectal bleeding was carried out in the department of pathology over 2 years (June 2015 to May 2017). Results: Total 40 lesions of lower gastrointestinal tract were studied. Commonest age group involved was 41-60 years with male preponderance. Neoplastic lesions accounted for majority amongst which predominant lesions were malignant that is adenocarcinoma. Moderately differentiated adenocarcinoma involving rectum were preponderant. Majority of adenocarcinomas were in stage C1 of Astler-Coller staging. Haemorrhoids were the most common nonneoplastic lesion. Conclusion: Malignant lesion is the commonest cause of per rectal bleeding amongst lower gastrointestinal tract lesions.
Authors and Affiliations
Shivani H. Ingale
Keywords
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