Case presentation A 51-year-old woman presented with progressively worsening bowel habits over the past year. Symptoms included bowel movements every three days, long and sharp stools, and intermittent blood-mixed feces occurring every 3–4 weeks.
She denied abdominal pain, weight loss, or night sweats. Medical history Symptomatic cholelithiasis (awaiting surgery) Two cesarean sections Hysterectomy for fibroids No family history of gastrointestinal disease or cancer No ongoing use of medications, smoking, alcohol, or recreational drugs Physical examination The abdomen was painless, without masses or visceromegaly Normal bowel sounds Rectal examination No bleeding, nodules, or masses No palpable enlargement of the lymph nodes Vital Signs Blood pressure: 124/78 mmHg Heart rate: 80 bpm Respiratory rate: 14 breaths/min No lymphadenopathy on rectal exam Abdominal CT scans Two areas of…
