Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report

High-dose-rate interstitial brachytherapy (HDR-ISBT) is widely used for the treatment of pelvic tumors. However, there are a few reports on complications of applicator implantation in HDR-ISBT. We describe a case of small bowel perforation caused by applicator implantation in an 82-year-old male pat...

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Main Authors: Koji Masui, Hideya Yamazaki, Gen Suzuki, Daisuke Shimizu, Tadashi Takenaka, Yasuhiro Yamada, Koji Okihara, Yoshiaki Kuriu, Kei Yamada
Format: Article
Language:English
Published: Termedia Publishing House 2020-03-01
Series:Journal of Contemporary Brachytherapy
Subjects:
Online Access:https://www.termedia.pl/Small-bowel-perforation-caused-by-applicator-implantation-in-high-dose-rate-interstitial-brachytherapy-for-recurrent-pelvic-tumor-a-case-report,54,40158,1,1.html
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author Koji Masui
Hideya Yamazaki
Gen Suzuki
Daisuke Shimizu
Tadashi Takenaka
Yasuhiro Yamada
Koji Okihara
Yoshiaki Kuriu
Kei Yamada
author_facet Koji Masui
Hideya Yamazaki
Gen Suzuki
Daisuke Shimizu
Tadashi Takenaka
Yasuhiro Yamada
Koji Okihara
Yoshiaki Kuriu
Kei Yamada
author_sort Koji Masui
collection DOAJ
description High-dose-rate interstitial brachytherapy (HDR-ISBT) is widely used for the treatment of pelvic tumors. However, there are a few reports on complications of applicator implantation in HDR-ISBT. We describe a case of small bowel perforation caused by applicator implantation in an 82-year-old male patient with recurrence tumor in the pelvis treated with HDR-ISBT. Eventually, the patient underwent laparotomy and partial intestinal resection. We recognized the site where the applicator was inserted into a part of the tumor on the mucosal surface. Pathological examination confirmed that the tumor had infiltrated the small intestine directly and that the infiltrated part had reached the submucosa. This is the first published report about small bowel perforation caused by applicator implantation. In cases where intestinal infiltration of the tumor is suspected, HDR-ISBT should be performed with maximum caution.
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spelling doaj.art-1a48e76bf79248bc9f8655e1900540ec2022-12-21T19:52:16ZengTermedia Publishing HouseJournal of Contemporary Brachytherapy1689-832X2081-28412020-03-0112218819210.5114/jcb.2020.9387540158Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case reportKoji MasuiHideya YamazakiGen SuzukiDaisuke ShimizuTadashi TakenakaYasuhiro YamadaKoji OkiharaYoshiaki KuriuKei YamadaHigh-dose-rate interstitial brachytherapy (HDR-ISBT) is widely used for the treatment of pelvic tumors. However, there are a few reports on complications of applicator implantation in HDR-ISBT. We describe a case of small bowel perforation caused by applicator implantation in an 82-year-old male patient with recurrence tumor in the pelvis treated with HDR-ISBT. Eventually, the patient underwent laparotomy and partial intestinal resection. We recognized the site where the applicator was inserted into a part of the tumor on the mucosal surface. Pathological examination confirmed that the tumor had infiltrated the small intestine directly and that the infiltrated part had reached the submucosa. This is the first published report about small bowel perforation caused by applicator implantation. In cases where intestinal infiltration of the tumor is suspected, HDR-ISBT should be performed with maximum caution.https://www.termedia.pl/Small-bowel-perforation-caused-by-applicator-implantation-in-high-dose-rate-interstitial-brachytherapy-for-recurrent-pelvic-tumor-a-case-report,54,40158,1,1.htmlbowel perforation pelvic tumor high-dose-rate interstitial brachytherapy
spellingShingle Koji Masui
Hideya Yamazaki
Gen Suzuki
Daisuke Shimizu
Tadashi Takenaka
Yasuhiro Yamada
Koji Okihara
Yoshiaki Kuriu
Kei Yamada
Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
Journal of Contemporary Brachytherapy
bowel perforation
pelvic tumor
high-dose-rate interstitial brachytherapy
title Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
title_full Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
title_fullStr Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
title_full_unstemmed Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
title_short Small bowel perforation caused by applicator implantation in high-dose-rate interstitial brachytherapy for recurrent pelvic tumor: a case report
title_sort small bowel perforation caused by applicator implantation in high dose rate interstitial brachytherapy for recurrent pelvic tumor a case report
topic bowel perforation
pelvic tumor
high-dose-rate interstitial brachytherapy
url https://www.termedia.pl/Small-bowel-perforation-caused-by-applicator-implantation-in-high-dose-rate-interstitial-brachytherapy-for-recurrent-pelvic-tumor-a-case-report,54,40158,1,1.html
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