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KMID : 1141920170330040146
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Annals of Coloproctology
2017 Volume.33 No. 4 p.146 ~ p.149
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Colorectal Perforation After Anorectal Manometry for Low Anterior Resection Syndrome
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Lee Kyung-Ha
Kim Ji-Yeon
Sul Young-Hoon
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Abstract
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We experienced 3 cases of manometry-induced colon perforation. A 75-year-old man (case 1) underwent anorectal manometry (ARM) 3 years after radiotherapy for prostate cancer and a laparoscopic intersphincteric resection for rectal cancer. A 70-year-old man (case 2) underwent ARM 3 months after conventional neoadjuvant chemoradiotherapy and a laparoscopic low anterior resection for rectal cancer. A 78-year-old man (case 3) underwent ARM 2 months after a laparoscopic intersphincteric resection for rectal cancer. In all cases, a colon perforation with fecal peritonitis occurred. All were treated successfully using prompt and active operations and were discharged without any complications. ARM with a balloon, as a measure of rectal compliance, should be performed 2 months or longer after surgery. If a perforation occurs, prompt and active surgical intervention is necessary due to the high possibility of extensive fecal peritonitis.
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KEYWORD
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Rectal cancer, Low anterior resection syndrome, Anorectal manometry, Colon perforation
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