التفاصيل البيبلوغرافية
| العنوان: |
Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report. |
| المؤلفون: |
Yoshida, Takuto, Ichikawa, Nobuki, Homma, Shigenori, Yoshida, Tadashi, Emoto, Shin, Miyaoka, Yoichi, Matsui, Hiroki, Taketomi, Akinobu |
| المصدر: |
Surgical Case Reports; 2/22/2021, Vol. 7 Issue 1, p1-6, 6p |
| مصطلحات موضوعية: |
HYPERBARIC oxygenation, LAPAROSCOPIC surgery, ANUS, SIGMOID colon, COLON cancer |
| مستخلص: |
Background: Ischemic colitis is a common disease; however, its pathophysiology remains unclear, especially in ischemic proctitis after sigmoidectomy. We present a rare case of ischemic proctitis 6 months after laparoscopic sigmoidectomy. Case presentation: The patient was a 60-year-old man with hypertension, type 2 diabetes, and hyperlipidemia. He was a smoker. He underwent laparoscopic sigmoidectomy for pathological stage I sigmoid colon cancer and was followed up without any adjuvant therapy. Six months after his surgery, he complained of lower abdominal discomfort, bloody stools, and tenesmus. Colonoscopy showed extensive rectal ulcers between the anastomotic site and the anal canal, which was particularly severe on the anal side several centimeters beyond the anastomosis. We provided non-surgical management, including hyperbaric oxygen therapy. The rectal ulcers had healed 48 days after the therapeutic intervention. He has not experienced any recurrence for 3.5 years. Conclusions: While performing sigmoidectomy, it is important to consider the blood backflow from the anal side of the bowel carefully, especially for patients with risk factors of ischemic proctitis. [ABSTRACT FROM AUTHOR] |
|
Copyright of Surgical Case Reports is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder