Watanabe Akemi, Fukunari Hiroyuki, Mito Masato, Hayashi Tetsuji
Dept. of Surgery, Niigata Prefectural Tokamachi Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):2288-2290.
We report 5 cases of implantation cysts at anastomosis after rectal surgery. All patients underwent resection of the rectum usingthe double staplingtechnique (DST). Implantation cysts were recognized within a period of 3 months to 6 years after surgery. Abdominal CT showed cystic masses with calcification in all cases. Colonoscopy revealed submucosal tumor-like lesions in 3 cases, and serum CEA level was increased in 2 cases. In one patient with anal pain, transanal aspiration was performed; the other 4 patients are free from symptoms and are beingobserved without treatment.
我们报告了5例直肠手术后吻合口植入性囊肿的病例。所有患者均采用双吻合器技术(DST)进行直肠切除术。植入性囊肿在术后3个月至6年内被发现。腹部CT显示所有病例均有伴有钙化的囊性肿块。结肠镜检查发现3例有黏膜下肿瘤样病变,2例血清癌胚抗原(CEA)水平升高。1例肛门疼痛患者进行了经肛门抽吸;其他4例患者无症状,正在接受观察且未接受治疗。