A Case of Formalin Therapy for Hemorrhagic Radiation Proctitis.
- Author:
Sang In LEE
;
In Suh PARK
;
Hyo Jin PARK
;
Seung Kook SOHN
;
Jong Won SONG
;
Jun Keun JUNG
;
Tae Wan AHN
- Publication Type:Case Report
- Keywords:
Hemorrhagic radiation proctitis;
Rectal bleeding;
Formalin therapy
- MeSH:
Aged;
Anesthesia, Caudal;
Blood Transfusion;
Cervix Uteri;
Colon;
Colostomy;
Female;
Formaldehyde*;
Hemorrhage;
Hospitalization;
Humans;
Mortality;
Proctitis*;
Radiotherapy;
Rectum;
Recurrence
- From:Korean Journal of Gastrointestinal Endoscopy
1996;16(5):793-799
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemorrhagic radiation proctitis is infrequently seen in patients receiving pelvic irradiation. The treatment of hemorrhagic ralation proctitis is often difficult. Many patients need reyeated hospitalizations and blood transfusions. Occasionally patiets will develop severe or recurrent rectal bleeding. In case of massive bleeding requiring excessive transfusion, colonic diversion by construction of a colostomy or excision of the diseased segment may be inevitable. However, surgical procedures in these patients are associated with a high mortality and morbidity. Moreover, medical therapy is usually ineffective. Recently formalin therapy has been introduced as a simple and effective treatment for hemorrhagic radiation proctitis. We experienced a 69 year-old woman patient who developed severe homorrhagic proctitis 1 year after radiotherapy for carcinoma of the cervix. She had not improved by conservative management and required blood tranafusions and repetitive hospitalizations. After local application of a 4% formalin solution in the diseased rectum under caudal anesthesia, the bleeding immediately stopped and the patient was discharged from the hospital, and no recurrence has been observed until now.
