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We describe the diagnosis and management of a patient with a progressively enlarging, non-healing ischiorectal wound. This patient was further evaluated with radiological investigations which showed the presence of a large left ischiorectal fossa mass. Histology confirmed this mass as an anal adenocarcinoma. Anal Adenocarcinoma is a rare condition that can arise from chronic inflammatory states. Treatment requires an abdomino-perineal resection with neoadjuvant therapy, and the goal of surgery is to achieve clear resection margins.

Original publication




Journal article


J Gastrointest Surg

Publication Date





604 - 605


Anal adenocarcinoma, Anal fistula, Chronic, Ischiorectal wound, Adenocarcinoma, Anus Neoplasms, Buttocks, Chemoradiotherapy, Adjuvant, Humans, Male, Middle Aged, Neoadjuvant Therapy, Wound Healing, Wounds and Injuries