Amorotti Claudio, Mosca Donatella, Pintaudi Ubaldo
Clinica Chirurgica II, Dipartimento Integrato di Chirurgia Generale e Specialità Chirurgiche, Università degli Studi di Modena e Reggio Emilia.
Chir Ital. 2006 Jan-Feb;58(1):129-34.
In stapled anastomosis following anterior rectal resection, the anastomotic occlusive web rate is unknown and the management of this complication is not well defined. A 74-year-old man underwent a curative resection of a rectal cancer and, at the same time, a jejunal resection of an incidental stromal tumor. The colorectal anastomosis, performed according to the Knight-Griffen technique, and the hand-sewn end-to-end jejunal anastomosis were covered by a protective loop ileostomy. A number of features makes the case very unusual. The anastomotic occlusive web was made up of mucosal layer in the absence of a granulation reaction. Several factors contributed to the onset and misidentification of this complication. After the endoscopic approach had failed, the condition was successfully treated during an emergency operation for intestinal perforation.
在直肠前切除术后的吻合器吻合中，吻合口闭塞性网膜的发生率尚不清楚，且该并发症的处理方法也未明确界定。一名74岁男性接受了直肠癌根治性切除术，同时因偶然发现的间质瘤进行了空肠切除术。按照奈特 - 格里芬技术进行的结直肠吻合以及手工缝合的端端空肠吻合均采用保护性回肠造口术覆盖。该病例有许多不同寻常的特征。吻合口闭塞性网膜由黏膜层构成，且无肉芽反应。多种因素导致了这一并发症的发生及误诊。在内镜治疗失败后，该病情在因肠穿孔进行的急诊手术中得到成功治疗。
