Acute rectal ischemia following failed uterine artery embolization and emergency hysterectomy for postpartum hemorrhage

Ducarme, Guillaume; Dochez, Vincent; Vallon, Carole; Poirier, Philippe; Jean, Marc-Henri

doi:10.1016/j.ijgo.2014.10.020

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…The pathophysiology of ischemic proctitis after sigmoidectomy remains unclear. However, it was assumed to be related to several factors, including arteriosclerosis [ 9 – 12 ], venous congestion [ 13 , 14 ], and anatomically complicated areas such as the Sudeck’s point [ 3 , 15 – 18 ]. Sudeck’s point is a watershed area and a weak blood supply point at the rectosigmoid junction [ 15 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report

et al. 2021

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Background Ischemic colitis is a common disease; however, its pathophysiology remains unclear, especially in ischemic proctitis after sigmoidectomy. We present a rare case of ischemic proctitis 6 months after laparoscopic sigmoidectomy. Case presentation The patient was a 60-year-old man with hypertension, type 2 diabetes, and hyperlipidemia. He was a smoker. He underwent laparoscopic sigmoidectomy for pathological stage I sigmoid colon cancer and was followed up without any adjuvant therapy. Six months after his surgery, he complained of lower abdominal discomfort, bloody stools, and tenesmus. Colonoscopy showed extensive rectal ulcers between the anastomotic site and the anal canal, which was particularly severe on the anal side several centimeters beyond the anastomosis. We provided non-surgical management, including hyperbaric oxygen therapy. The rectal ulcers had healed 48 days after the therapeutic intervention. He has not experienced any recurrence for 3.5 years. Conclusions While performing sigmoidectomy, it is important to consider the blood backflow from the anal side of the bowel carefully, especially for patients with risk factors of ischemic proctitis.

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