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Necrotizing Fasciitis Arising From an Enterocutaneous Fistula in a Case of an Appendiceal Mucocele.

Annals of Coloproctology.2015;31(6):246-250. doi:10.3393/ac.2015.31.6.246

An appendiceal mucocele (AM) is a rare tumorous condition of the appendix. Many patients with AM are admitted to the hospital with abdominal pain or discomfort, and many cases are found incidentally. Although the rate of complications in patients with AM is very low, if left untreated, a mucocele may rupture and produce a potentially fatal entity known as pseudomyxoma peritonei. In this paper, we report a case of an 80-year-old man with necrotizing fasciitis arising from an enterocutaneous fistula caused by AM.
Abdominal Pain ; Aged, 80 and over ; Appendiceal Neoplasms ; Appendix ; Fasciitis, Necrotizing* ; Humans ; Intestinal Fistula* ; Mucocele* ; Pseudomyxoma Peritonei ; Rupture

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Pilonidal Abscess Associated With Primary Actinomycosis.

Han Boon OH ; Mohamad Hashir ABDUL MALIK ; Chris Hang Liang KEH

Annals of Coloproctology.2015;31(6):243-245. doi:10.3393/ac.2015.31.6.243

Pilonidal disease in the sacrococcygeal region usually presents as abscesses, recurrent inflammation, cellulitis or fistula tracks. However, few reports on actinomycosis affecting pilonidal sinuses have been published. We report a case of a 25-year-old woman who presented with a pilonidal abscess who underwent surgical drainage and debridement. Pus from the pilonidal abscess was sent for microbiology, which grew actinomyces turicensis associated with prevotella bivia and peptostreptococci. She was treated with oral amoxicillin-clavulanate after surgical drainage for one week and recovered well. Actinomycosis associated with pilonidal abscesses, though uncommon, should be recognized and can be satisfactorily treated with a combination of surgical drainage and antibiotics.
Abscess* ; Actinomyces ; Actinomycosis* ; Adult ; Anti-Bacterial Agents ; Cellulitis ; Debridement ; Drainage ; Female ; Fistula ; Humans ; Inflammation ; Pilonidal Sinus ; Prevotella ; Sacrococcygeal Region ; Suppuration

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Influence of Shorter Duration of Prophylactic Antibiotic Use on the Incidence of Surgical Site Infection Following Colorectal Cancer Surgery.

Youn Young PARK ; Chang Woo KIM ; Sun Jin PARK ; Kil Yeon LEE ; Jung Joo LEE ; Hye Ok LEE ; Suk Hwan LEE

Annals of Coloproctology.2015;31(6):235-242. doi:10.3393/ac.2015.31.6.235

PURPOSE: This study aimed to identify the risk factors for surgical site infections (SSIs) in patients undergoing colorectal cancer surgery and to determine whether significantly different SSI rates existed between the short prophylactic antibiotic use group (within 24 hours) and the long prophylactic antibiotic use group (beyond 24 hours). METHODS: The medical records of 327 patients who underwent colorectal resection due to colorectal cancer from January 2010 to May 2014 at a single center were retrospectively reviewed, and their characteristics as well as the surgical factors known to be risk factors for SSIs, were identified. RESULTS: Among the 327 patients, 45 patients (13.8%) developed SSIs. The patients were divided into two groups according to the duration of antibiotic use: group S (within 24 hours) and group L (beyond 24 hours). Of the 327 patients, 114 (34.9%) were in group S, and 213 (65.1%) were in group L. Twelve patients (10.5%) in group S developed SSIs while 33 patients (15.5%) in group L developed SSIs (P = 0.242). History of diabetes mellitus and lung disease, long operation time, and perioperative transfusion were independent risk factors for SSIs. CONCLUSION: This study shows that discontinuation of prophylactic antibiotics within 24 hours after colorectal surgery has no significant influence on the incidence of SSIs. This study also showed that history of diabetes mellitus and lung disease, long operation time, and perioperative transfusion were associated with increased SSI rates.
Anti-Bacterial Agents ; Antibiotic Prophylaxis ; Colorectal Neoplasms* ; Colorectal Surgery ; Diabetes Mellitus ; Humans ; Incidence* ; Lung Diseases ; Medical Records ; Retrospective Studies ; Risk Factors ; Surgical Wound Infection

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Age Over 80 is a Possible Risk Factor for Postoperative Morbidity After a Laparoscopic Resection of Colorectal Cancer.

Taekhyun KANG ; Hyung Ook KIM ; Hungdai KIM ; Ho Kyung CHUN ; Won Kon HAN ; Kyung Uk JUNG

Annals of Coloproctology.2015;31(6):228-234. doi:10.3393/ac.2015.31.6.228

PURPOSE: With extended life expectancy, the mean age of patients at the time of diagnosis of colorectal cancer and its treatment, including radical resection, is increasing gradually. We aimed to evaluate the impact of age on postoperative clinical outcomes after a laparoscopic resection of colorectal cancers. METHODS: This is a retrospective review of prospectively collected data. Patients with primary colorectal malignancies or premalignant lesions who underwent laparoscopic colectomies between January 2009 and April 2013 were identified. Patients were divided into 6 groups by age using 70, 75, and 80 years as cutoffs: younger than 70, 70 or older, younger than 75, 75 or older, younger than 80, and 80 or older. Demographics, pathological parameters, and postoperative clinical outcomes, including postoperative morbidity, were compared between the younger and the older age groups. RESULTS: All 578 patients underwent a laparoscopic colorectal resection. The overall postoperative complication rate was 21.1% (n = 122). There were 4 cases of operative mortality (0.7%). Postoperative complication rates were consistently higher in the older groups at all three cutoffs; however, only the comparison with a cutoff at 80 years showed a statistically significant difference between the younger and the older groups. CONCLUSION: Age over 80 is a possible risk factor for postoperative morbidity after a laparoscopic resection of colorectal cancer.
Colectomy ; Colonic Neoplasms ; Colorectal Neoplasms* ; Demography ; Diagnosis ; Humans ; Laparoscopy ; Life Expectancy ; Mortality ; Postoperative Complications ; Prospective Studies ; Retrospective Studies ; Risk Factors*

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Endless Arguments Over Diversion Stomas.

Seung Chul HEO

Annals of Coloproctology.2014;30(3):103-103. doi:10.3393/ac.2014.30.3.103

No abstract available.

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Efficacy of a Patient's Own Blood as Colonic Localization Agent.

Dae Youn WON ; Won Kyung KANG

Annals of Coloproctology.2014;30(3):101-102. doi:10.3393/ac.2014.30.3.101

No abstract available.
Colon*

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Intramural Recurrence Without Mucosal Lesions After an Endoscopic Mucosal Resection for Early Colorectal Cancer.

Min Sung KIM ; Nam Kyu KIM ; Ji Hye PARK

Annals of Coloproctology.2013;29(3):126-129. doi:10.3393/ac.2013.29.3.126

Advances in endoscopic instruments and techniques have enabled increased detection and removal of early colorectal cancer (ECC), which is defined as a tumor whose invasion is limited to the mucosa or submucosa. Some cases can be treated by endoscopic mucosal resection (EMR). However, local recurrence frequently occurs after an EMR for ECC. The recurrence pattern is usually intramural recurrence with a mucosal lesion at the EMR's site. We report the cases of two patients with intramural recurrence without mucosal lesions after an EMR for ECC. These cases indicate that a local recurrence after an EMR for ECC can appear as an intramural recurrence without mucosal lesions at a previous EMR site or another site, although this presentation is very unusual.
Colorectal Neoplasms ; Humans ; Mucous Membrane ; Neoplasm Recurrence, Local ; Recurrence

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Intramural Recurrence Without Mucosal Lesions After an Endoscopic Mucosal Resection for Early Colorectal Cancer.

Min Sung KIM ; Nam Kyu KIM ; Ji Hye PARK

Annals of Coloproctology.2013;29(3):126-129. doi:10.3393/ac.2013.29.3.126

Advances in endoscopic instruments and techniques have enabled increased detection and removal of early colorectal cancer (ECC), which is defined as a tumor whose invasion is limited to the mucosa or submucosa. Some cases can be treated by endoscopic mucosal resection (EMR). However, local recurrence frequently occurs after an EMR for ECC. The recurrence pattern is usually intramural recurrence with a mucosal lesion at the EMR's site. We report the cases of two patients with intramural recurrence without mucosal lesions after an EMR for ECC. These cases indicate that a local recurrence after an EMR for ECC can appear as an intramural recurrence without mucosal lesions at a previous EMR site or another site, although this presentation is very unusual.
Colorectal Neoplasms ; Humans ; Mucous Membrane ; Neoplasm Recurrence, Local ; Recurrence

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Primary Multiple Mesenteric Liposarcoma of the Transverse Mesocolon.

Sandeep SACHIDANANDA ; Arunkumar KRISHNAN ; Raja RAMESH ; Sivaprakasam KUPPURAO

Annals of Coloproctology.2013;29(3):123-125. doi:10.3393/ac.2013.29.3.123

Liposarcomas are common tumors arising in the retroperitoneum. However, a primary mesenteric liposarcoma is a rare entity and less than 50 cases have been reported so far. Further, a liposarcoma arising in the transverse mesocolon is very unusual, and cases of multiple primary tumors arising from the transverse mesocolon are extremely rare. We want to report a case of a multiple primary mesenteric liposarcoma arising from the transverse mesocolon in a 63-year-old female who was successfully treated by surgery. Because a primary mesenteric liposarcoma is a rare entity, it should be considered with the differential diagnosis of an abdominal mesenchymal tumor. It can be diagnosed preoperatively by using contrast enhanced computed tomography and magnetic resonance imaging. The treatment for such a liposarcoma is surgical resection with sufficient surgical margin; the role of adjuvant therapy has yet to be defined.
Diagnosis, Differential ; Female ; Humans ; Liposarcoma ; Magnetic Resonance Imaging ; Mesocolon

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Primary Multiple Mesenteric Liposarcoma of the Transverse Mesocolon.

Sandeep SACHIDANANDA ; Arunkumar KRISHNAN ; Raja RAMESH ; Sivaprakasam KUPPURAO

Annals of Coloproctology.2013;29(3):123-125. doi:10.3393/ac.2013.29.3.123

Liposarcomas are common tumors arising in the retroperitoneum. However, a primary mesenteric liposarcoma is a rare entity and less than 50 cases have been reported so far. Further, a liposarcoma arising in the transverse mesocolon is very unusual, and cases of multiple primary tumors arising from the transverse mesocolon are extremely rare. We want to report a case of a multiple primary mesenteric liposarcoma arising from the transverse mesocolon in a 63-year-old female who was successfully treated by surgery. Because a primary mesenteric liposarcoma is a rare entity, it should be considered with the differential diagnosis of an abdominal mesenchymal tumor. It can be diagnosed preoperatively by using contrast enhanced computed tomography and magnetic resonance imaging. The treatment for such a liposarcoma is surgical resection with sufficient surgical margin; the role of adjuvant therapy has yet to be defined.
Diagnosis, Differential ; Female ; Humans ; Liposarcoma ; Magnetic Resonance Imaging ; Mesocolon

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