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- Kristin E Mangalindan, Allison Bush, and Nhu An Nguyen.
- Department of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.
- Mil Med. 2023 Mar 20; 188 (3-4): e875e877e875-e877.
AbstractAnal cancer is a rare malignancy with an estimated 8,580 new cases each year in the USA where hematochezia, a common condition, is often the initial presenting sign. We describe a 51-year-old woman who presented with painful hematochezia, with a delayed diagnosis of anal cancer in the setting of missed and misdiagnosed digital rectal exams in an otherwise low-risk patient. This case highlights the importance of maintaining a broad differential diagnosis for hematochezia and the utility of thorough physical exams.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2021. This work is written by (a) US Government employee(s) and is in the public domain in the US.
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