Related Experiment Videos
Acute ischemic proctitis. Report of six cases
R L Nelson1, S Briley, J J Schuler
1Department of Surgery, University of Illinois College of Medicine, Chicago 60612.
Diseases of the Colon and Rectum
|April 1, 1992
Summary
Acute ischemic proctitis, a rare rectal condition, often follows aortic surgery. Early signs include bloody diarrhea and loss of anal sphincter tone, requiring prompt diagnosis and tailored treatment.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Colorectal Surgery
Background:
- Acute ischemic proctitis is a rare condition resulting from compromised blood supply to the rectum.
- It is frequently associated with aortic or aortoiliac surgical procedures.
Observation:
- This study presents six cases of acute ischemic proctitis.
- Common symptoms included bloody diarrhea and, in three patients, loss of anal sphincter tone.
- Diagnosis was confirmed via proctosigmoidoscopy findings, differentiating it from infectious causes through stool cultures.
Findings:
- Four cases resulted from direct arterial interruption, one from accidental embolization, and one from tumor edema.
- Superficial ischemia was managed non-surgically.
- Deeper necrosis necessitated laparotomy and Hartmann's resection, but not total rectal excision.
Implications:
- Prompt diagnosis and appropriate management are crucial for acute ischemic proctitis.
- Treatment strategies should be tailored based on the depth of ischemic necrosis.
- Effective management can lead to patient survival and avoid extensive rectal resection.