Rectal cancer perforation is a rare complication that may be associated to chemoradiotherapy due to tumor necrosis. It is life-threatening to the patient due to recurrency rate and mortality. We report the case of a 76 years old
female patient getting treated by chemoradiotherapy for rectal cancer, admitted for acute abdominal pain, to which an abdominal CT scan showed important pneumoperitoneum associated with peritonitis secondary to rectal tumor perforation, confirmed after immediate surgical exploration.
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