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Inicio Cirugía Española (English Edition) Rectal syphilis
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Vol. 101. Núm. 3.
Páginas 214 (marzo 2023)
Vol. 101. Núm. 3.
Páginas 214 (marzo 2023)
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Rectal syphilis
Sífilis rectal
Visitas
141
Sofía Mansilla
Autor para correspondencia
sofiamansillarud@gmail.com

Corresponding author.
, Andrés Pouy, Fabiana Domínguez, Ricardo Misa
Clínica Quirúrgica B, Hospital de Clínicas, Facultad de Medicina UDELAR, Montevideo, Uruguay
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A 40-year-old male patient with HIV consulted for rectal syndrome. Rectal examination revealed an irregular ulcerated lesion on the anterior aspect at 1 cm from the anorectal ring. Rectosigmoidoscopy confirmed an ulcerated vegetating lesion, and a biopsy was taken. Magnetic resonance imaging (Fig. 1) confirmed the presence of a subperitoneal rectal lesion with mesenteric and extra mesenteric rectal adenomegaly, probably a T3 N1 tumour. The pathological anatomy revealed a non-specific polymorphous inflammatory lesion, leading to a suspected diagnosis of syphilis. The diagnosis was confirmed by serology. The patient was treated with penicillin with complete clinical and endoscopic remission.

Fig. 1
(0.17MB).

Syphilis affects more than 12,000,000 people/year. At the anorectal level, its manifestation is polymorphic. Its infrequent presentation as a pseudotumour carries a consequent risk of overtreatment.

Funding

Thea authors declare that no funding was received for this work.

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