Devine T J, Myers K A, Slattery P G
Br J Surg. 1980 Jan;67(1):52-3. doi: 10.1002/bjs.1800670116.
A 45-year-old man developed severe leg ischaemia following anterior resection for rectal carcinoma. A previously unrecognized infrarenal aortic occlusion was also present. Division of important collateral arterial pathways during the anterior resection was the cause of ischaemia which contributed to the patient's death. Patients having rectal or colonic resection should be carefully assessed for aortoiliac occlusive disease. Extra-anatomical arterial reconstruction before the bowel resection would avoid this complication.
一名45岁男性在直肠癌前切除术之后出现严重的腿部缺血。同时还存在一处之前未被识别出的肾下腹主动脉闭塞。前切除术期间重要侧支动脉通路的离断是导致缺血的原因，这最终致使患者死亡。接受直肠或结肠切除术的患者应仔细评估是否存在主髂动脉闭塞性疾病。在肠道切除术前进行解剖外动脉重建可避免这一并发症。
