Dr/ ABD ALLAH NAZEER. MD.

Radiological imaging of the rectal diseases.

Barium enema radiograph showing evidence of imperforate anus.

Imperforate anus.

Proctitis.

symptoms of proctitis include:pain in the rectum, anus, and abdominal regionbleeding from the rectumpassing mucus from the rectum very loose stoolsDiarrhea.

Complications.

ulcers: open sores that develop in the rectum and colonabscesses: pus-filled areas of infectionanemia: a deficiency of red blood cells caused by rectal bleeding

Amoebic proctitis in an HIV-infected transsexual patient with circumferential wall thickening of the rectum.

Proctitis in an HIV-infected transsexual patient with circumferential wall thickening of the rectum.

Seven-millimeter-diameter polyp.

Small rectal polyp.

Rectal Cancer.

Accurate preoperative staging• Location (height)• TNM staging• Free resection Margin TME

Tumour Height MeasurementDecreasing order of reliability???1. Rigid sigmoidoscopy2. Flexible sigmoidoscopy/colonoscopy3. Endorectal ultrasound (can overestimate)4. DRE (low lying tumours)5. CT or MRI

ManagementT1. Transanal ExcisionT2. TMET3. Pre-op Chemo-rad + TME Vs TME + Post-op Chemo-rad T 4 • Pre-op Chemo-rad +Exenteration.

MRI AccuracyT Staging : 71-91 %N Staging : 43-85 %CRM : 95 %Highest Accuracy and Consistency.

Summary.

Thank You.