Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report
Abstract 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 wi...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-02-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-021-01133-7 |
| _version_ | 1818668133618024448 |
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| author | Takuto Yoshida Nobuki Ichikawa Shigenori Homma Tadashi Yoshida Shin Emoto Yoichi Miyaoka Hiroki Matsui Akinobu Taketomi |
| author_facet | Takuto Yoshida Nobuki Ichikawa Shigenori Homma Tadashi Yoshida Shin Emoto Yoichi Miyaoka Hiroki Matsui Akinobu Taketomi |
| author_sort | Takuto Yoshida |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-17T06:31:29Z |
| format | Article |
| id | doaj.art-8b3283373fec4038a51e69aef76229d5 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-17T06:31:29Z |
| publishDate | 2021-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-8b3283373fec4038a51e69aef76229d52022-12-21T22:00:09ZengSpringerOpenSurgical Case Reports2198-77932021-02-01711610.1186/s40792-021-01133-7Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case reportTakuto Yoshida0Nobuki Ichikawa1Shigenori Homma2Tadashi Yoshida3Shin Emoto4Yoichi Miyaoka5Hiroki Matsui6Akinobu Taketomi7Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityDepartment of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido UniversityAbstract 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.https://doi.org/10.1186/s40792-021-01133-7Ischemic proctitisIschemic colitisSigmoid colon cancerBloody stoolLaparoscopic sigmoidectomyNon-surgical management |
| spellingShingle | Takuto Yoshida Nobuki Ichikawa Shigenori Homma Tadashi Yoshida Shin Emoto Yoichi Miyaoka Hiroki Matsui Akinobu Taketomi Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report Surgical Case Reports Ischemic proctitis Ischemic colitis Sigmoid colon cancer Bloody stool Laparoscopic sigmoidectomy Non-surgical management |
| title | Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report |
| title_full | Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report |
| title_fullStr | Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report |
| title_full_unstemmed | Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report |
| title_short | Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report |
| title_sort | ischemic proctitis 6 months after laparoscopic sigmoidectomy a case report |
| topic | Ischemic proctitis Ischemic colitis Sigmoid colon cancer Bloody stool Laparoscopic sigmoidectomy Non-surgical management |
| url | https://doi.org/10.1186/s40792-021-01133-7 |
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