Repositorio Institucional de Documentos

Resumen: Background The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction. Case report The case is presented of an 80 year old patient who underwent a lower anterior resection for rectal neoplasm. After ileostomy closure, he presented with subocclusive symptoms caused by stenosis of colorectal anastomosis. This stenosis was managed with endoscopic dilations, and one of these dilations produced an anastomotic perforation with pneumoperitoneum, retropneumoperitoneum, and pneumothorax. Once the patient was clinically and haemodynamically stable, the perforation was treated with conservative measures, resolving the complication satisfactorily. Conclusions The literature describes several management options for colorectal anastomoses strictures, such as surgical resection, rubber dilators, endoscopic dilation, all of which might produce colonic perforation. Its management ranges from conservative measures to surgical intervention.
Idioma: Español
DOI: 10.1016/j.circir.2015.11.003
Año: 2016
Publicado en: Cirugia y Cirujanos 84, 5 (2016), 420-424
ISSN: 0009-7411
Factor impacto JCR: 0.276 (2016)
Categ. JCR: SURGERY rank: 190 / 196 = 0.969 (2016) - Q4 - T3
Factor impacto SCIMAGO: 0.167 - Surgery (Q4)

Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)

Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. No puede utilizar el material para una finalidad comercial. Si remezcla, transforma o crea a partir del material, no puede difundir el material modificado.

Exportado de SIDERAL (2020-11-17-09:43:58)


Visitas y descargas

Este artículo se encuentra en las siguientes colecciones:
Artículos