- Author:
Sandra BARBEIRO
1
;
Catarina MARTINS
;
Cláudia GONÇALVES
;
Paulo ALVES
;
Inês GIL
;
Manuela CANHOTO
;
Filipe SILVA
;
Isabel COTRIM
;
Cristina AMADO
;
Liliana ELISEU
;
Helena VASCONCELOS
Author Information
- Publication Type:Case Report
- Keywords: Anal canal; Ischemia; Necrosis; Black anal canal
- MeSH: Aged; Anal Canal*; Debridement; Equipment and Supplies; Humans; Hypotension; Ischemia; Necrosis*; Precipitating Factors; Rectum
- From:Annals of Coloproctology 2016;32(4):156-158
- CountryRepublic of Korea
- Language:English
- Abstract: Acute ischemia of the rectum or anal canal resulting in necrosis is extremely uncommon because both the rectum and the anal canal have excellent blood supplies. We present a case with spontaneous necrosis of the anal canal without rectal involvement. Surgical debridement was accomplished, and the recovery was uneventful. The patient was elderly, with probable atherosclerotic arterial disease, and presented with hypotension. Due to the lack of other precipitating factors, the hypoperfusion hypothesis seems to be the most suitable in this case. To the best of our knowledge, no similar cases have been reported in the literature on this subject.