恢复后放射性肠炎导致的急性回肠穿孔

Acute Ileal Perforation Caused by Radiation Enteritis After Restoration.

作者信息

Kim Jong Beom, Lee Jong Lyul, Park Seong Ho, Kim Jihun, Kim Jin Cheon

机构信息

Division of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Ann Coloproctol. 2021 Jul;37(Suppl 1):S51-S54. doi: 10.3393/ac.2020.07.30. Epub 2020 Sep 18.

DOI:10.3393/ac.2020.07.30

PMID:32972095

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8359703/

Abstract

Few radiation-induced bowel perforations have been reported to date. Furthermore, perforation after ileal restoration in asymptomatic patients is rare. We report the case of a 61-year-old man who was administered preoperative chemoradiotherapy for advanced rectal cancer. The patient underwent ultra-low anterior resection with ileal diversion, followed by ileal restoration. Perforation was detected 9 days after restoration, and he underwent a right hemicolectomy. The histologic evaluation indicated ileal perforation caused by acute radiation enteritis.

摘要

迄今为止，鲜有辐射诱导的肠穿孔的报道。此外，无症状患者回肠修复术后发生穿孔的情况很罕见。我们报告了一例61岁男性患者，该患者因晚期直肠癌接受术前放化疗。患者接受了低位前切除术并进行回肠转流，随后进行回肠修复。修复术后9天发现穿孔，患者接受了右半结肠切除术。组织学评估表明穿孔是由急性放射性肠炎引起的回肠穿孔。