Post-ischemic colonic stricture secondary to low anterior resection

Abstract Text A 67-year-old man with history of low anterior resection of the rectum 3 years ago due to rectal adenocarcinoma admitted with abdominal pain. Colonoscopy showed from the anastomosis, located 10 cm from the anal margin, a continuous affectation of about 12 cm of the colonic mucosa that appears whitish, pale and with an absence of vascularization suggestive of severe ischemic colitis. Biopsies were taken, being compatible with ischemic colitis. Four months later, abdominal CT revealed stenosis of the anastomosis and pre-anastomotic dilation. Rectosigmoidoscopy was performed, which revealed a benign stricture and dilation was performed with a pneumatic balloon up to 12 mm with subsequent resolution [1] [2].

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

• 1 Fujii T, Toda S, Nishihara Y. et al. Congestive ischemic colitis occurring after resection of left colon cancer: 4 case series. Surg Case Rep 2020; 6 (01) 175
• 2 Brandt LJ, Feuerstadt P, Longstreth GF. et al. American College of Gastroenterology. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI). Am J Gastroenterol 2015; 110 (01) 18-45

Publication History

Article published online:
14 April 2023