Hu Xiao-Tong, Wang Dong
Department of Health Management, Daping Hospital, Army Medical University, Chongqing, China.
Department of Gastroenterology, The Ninth People's Hospital of Chongqing, Chongqing, China.
ACG Case Rep J. 2024 Nov 9;11(11):e01545. doi: 10.14309/crj.0000000000001545. eCollection 2024 Nov.
Delayed anastomotic submucosal abscess is a rare complication of rectal tumor resection. A submucosal tumor-like lesion near the anastomotic site was detected in a 57-year-old woman, and pus and sutures were found through spontaneously formed fistulas. Endoscopic ultrasound confirmed the presence of hyperechoic pus flowing out from the fistulas on compression of the lesion. The patient recovered well without surgery. This case indicates that submucosal abscess should be taken into consideration if suspected submucosal tumor-like lesions are detected after rectal surgery. Endoscopic drainage combined with antibiotic treatment may be an effective strategy for limited postoperative anastomotic abscess.
吻合口延迟性黏膜下脓肿是直肠肿瘤切除术后一种罕见的并发症。在一名57岁女性患者中，于吻合口附近发现了一个黏膜下肿瘤样病变，通过自发形成的瘘管发现了脓液和缝线。内镜超声检查证实，在对病变进行压迫时，有高回声的脓液从瘘管流出。该患者未经手术即恢复良好。此病例表明，直肠手术后若发现疑似黏膜下肿瘤样病变，应考虑黏膜下脓肿的可能。内镜引流联合抗生素治疗可能是治疗局限性术后吻合口脓肿的有效策略。
