JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

A case of gangrenous ischemic colitis after laparoscopic colectomy for descending colon cancer, isolated by anastomosis and located at anal side colorectum Hideaki TANAMI 1 , Kazuo MOTOYAMA 2 , Daisuke UEHIRA 1 , Ayano MURAKATA 1 , Jun MATSUMOTO 3 1Department of Surgery, Ohkubo Hospital, Tokyo Metropolitan Health and Hospitals Corporation 2Department of Surgery, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation 3Department of Surgery, Tama-Hokubu Medical Center, Tokyo Metropolitan Health and Hospitals Corporation Keyword: 虚血性腸炎 , 下行結腸癌手術後 , 吻合部肛門側 pp.411-417
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200735
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 A 65-year-old man underwent laparoscopic colectomy for descending colon cancer (T3N0M0 c-Stage II). Inferior mesenteric vein was ligated for D3 lymph nodes dissection, but inferior mesenteric artery and supra rectal artery were preserved. Six months later, the patient had ischemic colitis which was isolated by anastomosis and located at the anal side colorectum. He was unresponsive to less invasive therapies and finally needed abdominoperineal resection of the rectum, including anastomosis. Ischemic colitis usually occurs to aged patients with cardiovascular disease, diabetes, hypertension and chronic constipation. Although peripheral circulatory failure excluding vasculitis is said to be related, the etiology of this disease is still unknown. Late-onset ischemic colitis at anal side of anastomotic colorectal lesion, after colorectal cancer surgery, is rare. It might be possible that post-operative impairment of venous outflow has affected the progression of this disease.


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基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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