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Acute ischemic gangrene of the rectum: Report of 3 cases and review of literature.

Azimuddin K, Raphaeli T - Int J Surg Case Rep (2013)

Bottom Line: Acute ischemia of the rectum resulting in full thickness necrosis is extremely uncommon because of its excellent blood supply.If the entire rectum is found to be gangrenous then an emergency APR should be performed and the perineal wound left open.Prompt diagnosis and resuscitation followed by immediate surgical intervention is necessary to save these elderly patients.

View Article: PubMed Central - PubMed

Affiliation: Houston Colon & Rectal Surgery, 1125 Cypress Station Dr., Suite G3, Houston, TX 77090, United States. Electronic address: kazimuddin@hotmail.com.

No MeSH data available.


Related in: MedlinePlus

Rectal wall thickening and pneumatosis with perirectal inflammatory stranding.
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fig0005: Rectal wall thickening and pneumatosis with perirectal inflammatory stranding.

Mentions: A 77-year old male with history of hypertension, insulin dependent diabetes, hyperlipidemia, prior stroke and Parkinsonism was admitted from the emergency room with history of bloody diarrhea and lower abdominal pain. He had history of diarrhea off and on for the last 6 weeks and was recently treated for C diff colitis. He was hypotensive and tachycardic and abdominal exam showed marked tenderness in the left lower quadrant. Digital rectal exam revealed dark red blood and chunks of mucosal slough. Investigations revealed WBC of 22,000, acute renal failure and acidosis. CT showed peri rectal stranding and pneumatosis of the rectal wall (Fig. 1). Bedside proctoscopy revealed black and necrotic rectal mucosa, mucosal slough and dark red blood.


Acute ischemic gangrene of the rectum: Report of 3 cases and review of literature.

Azimuddin K, Raphaeli T - Int J Surg Case Rep (2013)

Rectal wall thickening and pneumatosis with perirectal inflammatory stranding.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860038&req=5

fig0005: Rectal wall thickening and pneumatosis with perirectal inflammatory stranding.
Mentions: A 77-year old male with history of hypertension, insulin dependent diabetes, hyperlipidemia, prior stroke and Parkinsonism was admitted from the emergency room with history of bloody diarrhea and lower abdominal pain. He had history of diarrhea off and on for the last 6 weeks and was recently treated for C diff colitis. He was hypotensive and tachycardic and abdominal exam showed marked tenderness in the left lower quadrant. Digital rectal exam revealed dark red blood and chunks of mucosal slough. Investigations revealed WBC of 22,000, acute renal failure and acidosis. CT showed peri rectal stranding and pneumatosis of the rectal wall (Fig. 1). Bedside proctoscopy revealed black and necrotic rectal mucosa, mucosal slough and dark red blood.

Bottom Line: Acute ischemia of the rectum resulting in full thickness necrosis is extremely uncommon because of its excellent blood supply.If the entire rectum is found to be gangrenous then an emergency APR should be performed and the perineal wound left open.Prompt diagnosis and resuscitation followed by immediate surgical intervention is necessary to save these elderly patients.

View Article: PubMed Central - PubMed

Affiliation: Houston Colon & Rectal Surgery, 1125 Cypress Station Dr., Suite G3, Houston, TX 77090, United States. Electronic address: kazimuddin@hotmail.com.

No MeSH data available.


Related in: MedlinePlus