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The Story

A Change In Bowel Habit
That Wouldn't Settle

The patient, in their late fifties, noticed a change in bowel habit and occasional blood in the stool over about two months. It was initially dismissed as a recurrence of piles, a common assumption that often delays proper evaluation of more serious colorectal conditions.

A colonoscopy referred by Dr. Krishna Pada Saha identified a mass in the rectosigmoid region, and biopsy confirmed adenocarcinoma. Staging investigations showed the disease was still localised, making the patient a strong candidate for curative, sphincter-preserving surgery rather than a more extensive procedure.

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Dr. Krishna Pada Saha, colorectal cancer surgeon
Age Group
55 – 60 Years
Diagnosis
Rectosigmoid Adenocarcinoma
Procedure
Laparoscopic Resection
Hospital Stay
5 – 6 Days
Margins
Clear
Case Details

The Challenge & Treatment Approach

How symptoms mistaken for piles were correctly diagnosed and treated at an early, curable stage.

Presenting Complaints

A gradual change in bowel habit over two months
Blood mixed in the stool, initially blamed on piles
Mild, persistent lower abdominal discomfort
Unintentional loss of appetite in recent weeks

Treatment Approach

Colonoscopy with biopsy confirmed the diagnosis
CT staging confirmed the disease was still localised
Laparoscopic, sphincter-preserving resection performed
Ongoing multidisciplinary oncology follow-up
Recovery Journey

From Diagnosis To Long-Term Follow-Up

01
Week 1

Diagnosis & Staging

Colonoscopy, biopsy and CT staging together confirmed a localised, operable tumour, allowing a clear surgical plan to be made quickly.

02
Surgery Day

Laparoscopic Resection

A keyhole approach removed the tumour with clear margins while preserving normal sphincter function wherever possible.

03
Week 1 – 6

Hospital Stay & Home Recovery

A five to six day hospital stay was followed by a gradual return to normal diet and daily activity over the following weeks.

04
Ongoing

Regular Oncology Follow-Up

Scheduled follow-up visits continue to monitor recovery and long-term wellbeing, with clear margins confirmed on histopathology.

Patient Outcome

Caught Early, Treated Successfully

I genuinely thought it was just piles again. Dr. Saha insisted on a colonoscopy, and that decision made all the difference — it was caught early enough to treat properly. I'm incredibly grateful he didn't let it go unchecked.

— Patient, Colorectal Cancer Surgery, Dhaka

Never Assumed, Always Confirmed

Symptoms that looked routine were still investigated fully, leading to an early and accurate diagnosis.

Minimally Invasive Surgery

A laparoscopic approach meant a smaller incision, less pain, and a faster hospital recovery.

Function Preserved

A sphincter-preserving technique protected the patient's quality of life after surgery.

Continued Oncology Care

Structured, ongoing follow-up keeps long-term recovery and wellbeing on track.

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Dr. Krishna Pada Saha
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