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Canadian Journal of Gastroenterology
Volume 5, Issue 2, Pages 59-61
Brief Communication

Mucinous Rectal Adenocarcinoma in Perianal Crohn’s Disease Fistulas

Wing C Peter Kwan and Hugh J Freeman

Department of Medicine (Gastroenterology), University Hospital and University of British Columbia, Vancouver, British Columbia, Canada

Received 7 November 1990; Accepted 6 February 1991

Copyright © 1991 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 47-year-old male with longstanding Crohn’s disease complicated by perianal fistulous disease is described. In this patient, presentation with a large acute ischiorectal abscess resulted in diagnosis of a complicating mucinous adenocarcinoma. Despite the relatively high frequency of perianal complications in Crohn’s disease, diagnosis of carcinoma in this setting is difficult, and survival remains poor.