Rectal Perforation after Anorectal Manometry Following Preoperative Chemoradiotherapy and Low Anterior Resection: Report of a Cases.
10.3393/jksc.2008.24.4.298
- Author:
Woon Kyung JEONG
1
;
Tae Sung CHUNG
;
Sang Woo LIM
;
Ji Won PARK
;
Seok Byung LIM
;
Hyo Seong CHOI
;
Seung Yong JEONG
Author Information
1. Center for Colorectal Cancer, Research Institute & Hospital, National Cancer Center, Goyang, Korea. syjeong@ncc.re.kr
- Publication Type:Case Report
- Keywords:
Anorectal manometry;
Rectal perforation;
Radiotherapy
- MeSH:
Anti-Bacterial Agents;
Chemoradiotherapy;
Drainage;
Fasciitis;
Fistula;
Humans;
Ileostomy;
Male;
Manometry;
Middle Aged;
Rectal Neoplasms;
Rectum
- From:Journal of the Korean Society of Coloproctology
2008;24(4):298-301
- CountryRepublic of Korea
- Language:English
-
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.
