A 75-year-old woman presented to the Emergency Department complaining of abdominal pain, distension, nausea, and vomiting for 1 day. Her past medical history was notable for transitional cell carcinoma of the bladder for which she had undergone radical cystectomy 5 months earlier. She recently had been evaluated by magnetic resonance imaging, which demonstrated a 4.3-cm area of rectal wall thickening consistent with primary rectal neoplasm or spread of her transitional cell carcinoma. On the day before presentation, she underwent colonoscopy to further evaluate this lesion.
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Published online: April 04, 2011
Accepted: November 5, 2010
Received in revised form: July 6, 2010
Received: April 23, 2010
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.