Adenocarcinoma arising below an ileoanal anastomosis after restorative proctocolectomy for ulcerative colitis: report of a case
| Autor: | Yoshiichi Maeura, Shigeru Okamoto, Hirofumi Ota, Setsuko Yoshioka, Hiroki Fukunaga, Wakio Endoh, Yoshihiro Okada, Shigeyuki Hojo, Nobuhisa Ueda, Keiji Yamazaki |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Anastomosis Postoperative Complications Ileum medicine Humans Intestinal Mucosa business.industry Proctocolectomy Abdominoperineal resection Anastomosis Surgical Proctocolectomy Restorative Rectum General Medicine Colonoscopy Middle Aged medicine.disease Anus Anus Neoplasms Total mesorectal excision Ulcerative colitis Adenocarcinoma Mucinous Surgery medicine.anatomical_structure Adenocarcinoma Colitis Ulcerative Pouch business Follow-Up Studies |
| Zdroj: | Surgery today. 37(7) |
| ISSN: | 0941-1291 |
| Popis: | We report a case of adenocarcinoma developing in remnant rectal mucosa below a hand-sewn ileal pouch–anal anastomosis (IPAA) after restorative proctocolectomy for ulcerative colitis (UC). To our knowledge, this is the first such case to be reported from Japan. A 60-year-old man with a 13-year history of UC underwent proctocolectomy with a hand-sewn IPAA and mucosectomy for anal stenosis and serious tenesmic symptoms. About 7 years later, a follow-up endoscopy showed a flat elevated malignant lesion, 2 cm in diameter, below the ileoanal anastomosis. He was treated by abdominoperineal resection of the pouch and anus with total mesorectal excision. Histopathological examination of the resected specimen confirmed the presence of a well-differentiated adenocarcinoma but there were no metastatic lymph nodes. He recovered uneventfully and remains well without evidence of recurrent disease 2 years and 3 months after his last operation. |
| Databáze: | OpenAIRE |
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