1. Dr/ ABD ALLAH NAZEER. MD.
Radiological imaging
of the rectal diseases.

8. Barium enema radiograph showing evidence of imperforate anus.

9. Imperforate anus.

10. Proctitis.
symptoms of proctitis include:
pain in the rectum, anus, and abdominal region
bleeding from the rectum
passing mucus from the rectum
very loose stools
Diarrhea.
Complications.
ulcers: open sores that develop in the rectum and colon
abscesses: pus-filled areas of infection
anemia: a deficiency of red blood cells caused by rectal
bleeding

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

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

14. Seven-millimeter-diameter polyp.

15. Small rectal polyp.

16. Rectal Cancer.

23. Accurate preoperative staging
• Location (height)
• TNM staging
• Free resection Margin TME
Tumour Height Measurement
Decreasing order of reliability???
1. Rigid sigmoidoscopy
2. Flexible sigmoidoscopy/colonoscopy
3. Endorectal ultrasound (can overestimate)
4. DRE (low lying tumours)
5. CT or MRI

44. Management
T1. Transanal Excision
T2. TME
T3. Pre-op Chemo-rad + TME
Vs
TME + Post-op Chemo-rad
T 4 • Pre-op Chemo-rad +Exenteration.
MRI Accuracy
T Staging : 71-91 %
N Staging : 43-85 %
CRM : 95 %
Highest Accuracy and Consistency.

78. Summary.

80. Thank You.