LAUSR

disease and not receiving adjuvant treatment. A systematic review by Neal et al. concludes that efforts to expedite the diagnosis and treatment of patients with various cancers, including colorectal cancer, are likely to benefit patients in terms of earlierstage diagnosis, improved survival and improved quality of life. It is important to note, however, that this case is not the usual pattern of presentation as the cancer is usually occult and does not prolapse. For this reason, a high index of suspicion for colorectal cancer is important particularly in the management of older patients who have developed rectal prolapse, given their increased risk of rectal malignancy, and less commonly sigmoid malignancy. Informed patient consent was obtained and approval was obtained from the Western Sydney Local Health District Human Research and Ethics Committee.