Related Experiment Videos
Subacute ischaemic proctitis: a rare condition requiring extensive rectal surgery
R Detry1, E Z Ladah, A Kartheuser
1Department of Digestive Surgery, University Hospital St-Luc, UCL-Brussels Medical School, Belgium.
Acta Chirurgica Belgica
|March 26, 1999
Summary
Subacute ischaemic proctitis, a rare rectal condition, can occur after aortic aneurysm repair. Surgical intervention was necessary for this patient due to severe symptoms and ineffective treatments.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Colorectal Surgery
Background:
- Subacute ischaemic proctitis is a rare complication.
- Aortic aneurysm repair can lead to vascular complications.
- Ischaemic colitis can occur post-operatively.
Observation:
- A 60-year-old male developed severe proctitis after aortic aneurysm repair.
- Investigations revealed rectal stenosis and inflammation.
- Angiography showed poor blood flow in Riolan's arcade and aorto-graft anastomosis stenosis.
Findings:
- The patient was diagnosed with subacute ischaemic proctitis due to compromised blood supply.
- Medical management with anti-inflammatory drugs and dilations proved ineffective.
- Subtotal proctectomy with low colorectal anastomosis was performed.
Implications:
- Pathological examination confirmed an ischaemic process in the rectal tissue.
- The patient experienced an excellent recovery and remained asymptomatic.
- This case highlights a rare but serious complication of aortic surgery requiring surgical management.