Colorectal Perforation After Anorectal Manometry for Low Anterior Resection Syndrome.
- Author:
Kyung Ha LEE
1
;
Ji Yeon KIM
;
Young Hoon SUL
Author Information
- Publication Type:Case Report
- Keywords: Rectal cancer; Low anterior resection syndrome; Anorectal manometry; Colon perforation
- MeSH: Aged; Arm; Chemoradiotherapy; Colon; Compliance; Humans; Manometry*; Peritonitis; Prostatic Neoplasms; Radiotherapy; Rectal Neoplasms
- From:Annals of Coloproctology 2017;33(4):146-149
- CountryRepublic of Korea
- Language:English
- Abstract: We experienced 3 cases of manometry-induced colon perforation. A 75-year-old man (case 1) underwent anorectal manometry (ARM) 3 years after radiotherapy for prostate cancer and a laparoscopic intersphincteric resection for rectal cancer. A 70-year-old man (case 2) underwent ARM 3 months after conventional neoadjuvant chemoradiotherapy and a laparoscopic low anterior resection for rectal cancer. A 78-year-old man (case 3) underwent ARM 2 months after a laparoscopic intersphincteric resection for rectal cancer. In all cases, a colon perforation with fecal peritonitis occurred. All were treated successfully using prompt and active operations and were discharged without any complications. ARM with a balloon, as a measure of rectal compliance, should be performed 2 months or longer after surgery. If a perforation occurs, prompt and active surgical intervention is necessary due to the high possibility of extensive fecal peritonitis.
