Anastomotic leakage after sphincter-sparing surgery in a young woman diagnosed with low rectal cancer – case report

Journal of Clinical and Investigative Surgery. 2017;2(1):45-53 DOI 10.25083/2559.5555.21.4553

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Denis Aslan (Carol Davila University, Department of General Surgery, Bucharest, Romania)
Adrian Bordea (Carol Davila University, Department of General Surgery, Bucharest, Romania)
Traean Burcoș (Carol Davila University, Department of General Surgery, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Rectal cancer is the third most common site for cancer in the world, with a high morbidity and mortality. The new techniques for the treatment of low rectal cancer have been improved recently, allowing sphincter-sparing surgery to be available for more patients, with an optimal oncological and functional outcome. The most fundamental advance in rectal cancer surgery was the concept of total mesorectal resection (TME) introduced by Heald in 1982. Association with neoadjuvant radio-chemotherapy determines regression of the disease by “down staging” the tumors and allows for sphincter-sparing surgery to be performed, with low recurrence rate and increased overall survival. We present the case of 48-year old woman who had low rectal resection with colorectal anastomosis for middle rectal cancer. The patient had a BMI of 29, was hypertensive, had uterine fibroids and underwent neoadjuvant radiotherapy. During the 4th postoperative day the patient developed an anastomotic leakage grade B which was spontaneously closed on the 15th postoperative day. The patient did not manifest fever or any other symptoms. Normal bowel function resumed on the 5th postoperative day. No recurrence was detected at the one-year follow-up.