腹腔鏡下S 状結腸切除術半年後に発症し緊急手術を要した静脈うっ滞による 虚血性腸炎の1 例

Translated title of the contribution: A Case of Ischemic Colitis Due to Venous Stasis Occurring Half a Year after Laparoscopic Sigmoidectomy

Yasunori Tsuchiya*, Tetsuya Omura, Nagayoshi Ota, Shozo Hojo, Koshi Matsui, Isaku Yoshioka, Tomoyuki Okumura, Takuya Nagata, Katsuo Shimada, Eikichi Okada, Tsutomu Fujii

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 75-year old woman with a history of hypertension, hyperlipidemia and surgery for uterine myoma underwent laparoscopic sigmoidectomy and D3 lymph node dissection for sigmoid colon cancer. Constipation, anal discomfort, and clear drainage from the anus began 5 months after the operation, and a month later she visited our hospital. At 6 months after laparoscopic sigmoidectomy, CT revealed a severely thickened rectum from the anastomosis to the anus and dilatation of the internal iliac vein; and colonoscopy revealed severe erosion from the anastomosis to the anal side. Conservative treatment for about one month did not improve her symptoms and findings, and she then developed extensive anal bleeding and hypovolemic shock. Severe edema and fibrosis of the rectum and surrounding tissue were found in an emergency operation, and abdominoperineal resection was performed. Macroscopic findings of the resected specimen showed a severely thickened rectum wall. Histological findings showed dilated and meandering veins with congestion from the rectal submucosa to perirectal tissue.

Translated title of the contributionA Case of Ischemic Colitis Due to Venous Stasis Occurring Half a Year after Laparoscopic Sigmoidectomy
Original languageJapanese
Pages (from-to)548-555
Number of pages8
Journalthe japanese journal of gastroenterological surgery
Volume54
Issue number8
DOIs
StatePublished - 2021

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Fingerprint

Dive into the research topics of 'A Case of Ischemic Colitis Due to Venous Stasis Occurring Half a Year after Laparoscopic Sigmoidectomy'. Together they form a unique fingerprint.

Cite this