A Young female in mid 30’s, with a complex history of colovaginal fistula, and cT4N2M0 (stage III) invasive rectal adenocarcinoma,  s/p chemo radiotherapy, proctocolectomy with complex right pelvic surgery and intraoperative radiotherapy and right ureteral reimplant.

Now have findings suggestive of progression of recurrent tumor in pelvis.

Presented to OSH with massive hematuria.