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KMID : 0356720080240040298
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Journal of the Korean Society of Coloproctology
2008 Volume.24 No. 4 p.298 ~ p.301
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Rectal Perforation after Anorectal Manometry Following Preoperative Chemoradiotherapy and Low Anterior Resection - Report of a Cases -
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Jeong Woon-Kyung
Jeong Seung-Yong
Choi Hyo-Seong
Park Ji-Won
Chung Tae-Sung
Lim Sang-Woo
Lim Seok-Byung
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Abstract
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Anorectal manometry is widely used to evaluate anorectal function. Few reports have described complications resulting from this procedure. A 47-year-old male underwent preoperative chemoradiotherapy and a low anterior resection for rectal cancer. The patient underwent anorectal manometry at postoperative 8 months. A rectal perforation was diagnosed shortly thereafter. The patient was initially managed conservatively using percutaneous drainage and parenteral antibiotics and then discharged on day 60 after the event. One month later, a colo-cutaneous fistula and expanding abdominal fasciitis developed. The patient underwent surgical exploration, drainage, resection of the rectum including the fistula, and redo-coloanal anastomosis with a diverting ileostomy. The patient discharged without complications on postoperative day 25. Anorectal manometry should be performed with particular care in patients who have undergone radiotherapy and anastomosis at the rectum. J Korean Soc Coloproctol 2008;24:298-301
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KEYWORD
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Anorectalmanometry, Rectalperforation, Radiotherapy
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