Radiation Enterocolitis Featuring the Perforation of the Sigmoid Colon, Small Bowel, and Entero-Colonic Fistula: A Case Report.
| Autor: | Meng M; School of Medicine, American University of the Caribbean, Miramar, USA.; General Surgery, BronxCare Health System, Bronx, USA., Hanssen D; Surgery, Moffitt Cancer Center, Tampa, USA., Singh A; General Surgery, BronxCare Health System, Bronx, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Aug 08; Vol. 15 (8), pp. e43167. Date of Electronic Publication: 2023 Aug 08 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.43167 |
| Abstrakt: | Radiation enteritis poses a treatment challenge for patients undergoing or completing radiation therapy. A significant issue has been the patient's and surgeon's lack of awareness of the condition and the radiotherapy or associated surgical treatments. A 66-year-old female presented with acute onset of diffuse abdominal pain and peritonitis for one day, status post radiation therapy following a diagnosis of cervical cancer. A review of systems was positive for diffuse sweating, chills, and nausea. The patient was diagnosed with an entero-colonic fistula with mesenteric edema. An entero-colonic fistula due to radiation enterocolitis is a rare but important complication that can occur after radiation therapy for abdominal or pelvic malignancies. With any patient who has a history of abdominal or pelvic cancer and has received radiotherapy and shows up with acute abdomen, bowel perforation should be considered in the differential diagnosis with the possible management of acute complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Meng et al.) |
| Databáze: | MEDLINE |
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