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ANZ Journal of Surgery May 2021
Topics: Enema; Humans; Intestinal Perforation; Necrosis; Rectal Diseases; Rectum
PubMed: 33010195
DOI: 10.1111/ans.16360 -
Journal of Minimally Invasive Gynecology Jun 2023
Topics: Humans; Radiofrequency Ablation; Laparoscopy; Myoma; Necrosis; Catheter Ablation
PubMed: 36878402
DOI: 10.1016/j.jmig.2023.02.017 -
Folia Medica Cracoviensia 2014Rectal necrosis is a rare pathology, with little reports published in the literature. There are nonspecific symptoms, but clinical course may be dramatic, with necessity... (Review)
Review
Rectal necrosis is a rare pathology, with little reports published in the literature. There are nonspecific symptoms, but clinical course may be dramatic, with necessity of urgent surgery and intensive care. A 72-year-old female was admitted to hospital with complaints of bloody stool and dull abdominal pain. Symptoms started one week before and aggravated progressively. Physical examination revealed abdominal tenderness and flatulence, with no signs characteristic for peritonitis. Digital rectal examination demonstrated ulceration on the anterior rectal wall. Laboratory tests showed anemia, hypokalemia and elevated inflammatory parameters, whereas stool cultures revealed presence of Salmonella. During endoscopy, large rectal narrowing has been demonstrated. Because of this lesion and deteriorated clinical state, patient was qualified to urgent surgery. Necrotizing changed rectum has been observed intraoperatively. Additionally, extensive ischemia of the colon was present. Surgeons decided to perform proctocolectomy with end ileostomy. Although rectal necrosis occurs greatly seldom, it can be associated with life-threatening clinical course. Symptoms of this entity are untypical and it is easy to misdiagnose patient with necrosis of the rectum. Treatment of necrotic rectal injury is predominantly surgical and consists in segmental bowel resection.
Topics: Aged; Colitis, Ischemic; Female; Humans; Necrosis; Rectal Diseases; Rectum
PubMed: 25648309
DOI: No ID Found -
Acta Gastro-enterologica Belgica 2021
Topics: Aortic Valve; Conservative Treatment; Humans; Ischemia; Necrosis; Rectal Diseases
PubMed: 33639707
DOI: 10.51821/84.1.646 -
Techniques in Coloproctology Oct 2021
Topics: Colon, Sigmoid; Humans; Necrosis; Rectal Prolapse; Rectum; Treatment Outcome
PubMed: 33974160
DOI: 10.1007/s10151-021-02462-3 -
Japanese Journal of Clinical Oncology Mar 2015Recently, bevacizumab has become a key drug for treatment of metastatic colorectal cancer. Molecularly targeted agents such as bevacizumab can cause life-threatening... (Review)
Review
Recently, bevacizumab has become a key drug for treatment of metastatic colorectal cancer. Molecularly targeted agents such as bevacizumab can cause life-threatening adverse effects, though they are generally considered less toxic than cytotoxic drugs. Here, we review the case of a 76-year-old male rectal cancer patient with liver metastasis who suffered extensive bowel necrosis after administration of 5-fluorouracil-based chemotherapy with bevacizumab, and required a subtotal colectomy and end-ileostomy. Microscopic findings revealed extensive mucosal necrosis in the resected colon specimen and necrosis at the muscularis propria of the descending colon. Pathological findings suggested that the mucosal damage induced by chemotherapy may be exacerbated by treatment with bevacizumab, resulting in extensive necrosis.
Topics: Aged; Angiogenesis Inhibitors; Antibodies, Monoclonal, Humanized; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Colectomy; Colon; Fatal Outcome; Fluorouracil; Humans; Ileostomy; Leucovorin; Liver Neoplasms; Male; Necrosis; Organoplatinum Compounds; Rectal Neoplasms
PubMed: 25489005
DOI: 10.1093/jjco/hyu206 -
ANZ Journal of Surgery Apr 2021
Topics: Humans; Necrosis; Rectal Prolapse
PubMed: 33241593
DOI: 10.1111/ans.16259 -
Lupus Mar 2020Lupus mesenteric vasculitis is one of the most devastating complications of systemic lupus erythematosus (SLE) and may lead to a spectrum of complications, including...
Lupus mesenteric vasculitis is one of the most devastating complications of systemic lupus erythematosus (SLE) and may lead to a spectrum of complications, including ulceration, haemorrhage, bowel necrosis, perforation, serositis and ascites. Among such complications, intestinal necrosis and intestinal perforation are the most serious. Rectal necrosis is a rare manifestation of SLE, with only two case reports in the English literature. Here, we report the case of a 59-year-old male patient with SLE complicated by rectal necrosis that was initially misdiagnosed as acne and rectal tumours. After two surgeries and the addition of immunosuppressive therapy, the patient was eventually cured and discharged.
Topics: Colonoscopy; Diagnosis, Differential; Humans; Immunosuppressive Agents; Lupus Erythematosus, Systemic; Male; Middle Aged; Necrosis; Rectal Diseases; Surgical Procedures, Operative; Tomography, X-Ray Computed; Vasculitis
PubMed: 31924142
DOI: 10.1177/0961203319897130 -
Clinical Journal of Gastroenterology Dec 2016Acute esophageal necrosis (AEN) or "black esophagus" is a rare condition presented by patients with critical state of health and characterized by a darkened esophagus,...
Acute esophageal necrosis (AEN) or "black esophagus" is a rare condition presented by patients with critical state of health and characterized by a darkened esophagus, usually the distal third, in upper digestive endoscopy. The main clinical manifestation is upper gastrointestinal bleeding and there may be abdominal pain, dysphagia, nausea, vomiting, fever and syncope associated. The diagnosis depends on clinical suspicion and performing endoscopy, the biopsy not being required. In this article we present a case of a patient who had lots of comorbidities and developed AEN during a post-operative period, and discuss the importance of AEN in an increasingly ageing population.
Topics: Acute Disease; Adenocarcinoma; Esophagoscopy; Esophagus; Female; Humans; Middle Aged; Necrosis; Postoperative Complications; Rectal Neoplasms
PubMed: 27730597
DOI: 10.1007/s12328-016-0692-1 -
American Journal of Surgery Sep 1954
Topics: Coloring Agents; Drug Therapy; Humans; Necrosis; Oxalates; Povidone; Rectal Neoplasms; Rectum
PubMed: 13189000
DOI: 10.1016/0002-9610(54)90351-7