Rectal Perforation after Anorectal Manometry Following Preoperative Chemoradiotherapy and Low Anterior Resection: Report of a Cases
Journal of the Korean Society of Coloproctology
; : 298-301, 2008.
Article
em En
| WPRIM
| ID: wpr-157949
Biblioteca responsável:
WPRO
ABSTRACT
Anorectal manometry is widely used to evaluate anorectal function. Few reports have described complications resulting from this procedure. A 47-year-old male underwent preoperative chemoradiotherapy and a low anterior resection for rectal cancer. The patient underwent anorectal manometry at postoperative 8 months. A rectal perforation was diagnosed shortly thereafter. The patient was initially managed conservatively using percutaneous drainage and parenteral antibiotics and then discharged on day 60 after the event. One month later, a colo-cutaneous fistula and expanding abdominal fasciitis developed. The patient underwent surgical exploration, drainage, resection of the rectum including the fistula, and redo-coloanal anastomosis with a diverting ileostomy. The patient discharged without complications on postoperative day 25. Anorectal manometry should be performed with particular care in patients who have undergone radiotherapy and anastomosis at the rectum.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Neoplasias Retais
/
Reto
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Ileostomia
/
Drenagem
/
Fasciite
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Quimiorradioterapia
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Fístula
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Manometria
/
Antibacterianos
Limite:
Humans
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Male
Idioma:
En
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2008
Tipo de documento:
Article