Rectal mucocoele following subtotal colectomy for colitis

We present a unique case of a rectal mucocoele affecting a patient several years after his subtotal colectomy for ulcerative colitis. This was secondary to both a benign anorectal stenosis and a benign mucus secreting rectal adenoma. This case highlights the importance of surveillance in such patients.

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Minimally Invasive Subtotal Colectomy and Ileal Pouch-Anal Anastomosis for Fulminant Ulcerative Colitis

Diseases of the Colon & Rectum ◽

10.1007/dcr.0b013e31819a5cc1 ◽

2009 ◽

Vol 52 (2) ◽

pp. 187-192 ◽

Cited By ~ 38

Author(s):

Stefan D. Holubar ◽

David W. Larson ◽

Eric J. Dozois ◽

Jirawat Pattana-arun ◽

John H. Pemberton ◽

...

Keyword(s):

Ulcerative Colitis ◽

Minimally Invasive ◽

Subtotal Colectomy ◽

Ileal Pouch ◽

Ileal Pouch Anal Anastomosis ◽

Anal Anastomosis ◽

Fulminant Ulcerative Colitis

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Su1857 SAFETY OF TOFACITINIB ON POSTOPERATIVE OUTCOMES AFTER SUBTOTAL COLECTOMY IN ULCERATIVE COLITIS

Gastroenterology ◽

10.1016/s0016-5085(20)32384-2 ◽

2020 ◽

Vol 158 (6) ◽

pp. S-677

Author(s):

Haluk T. Kani ◽

Eren Esen ◽

Shannon Chang ◽

David Hudesman ◽

Feza H. Remzi ◽

...

Keyword(s):

Ulcerative Colitis ◽

Subtotal Colectomy ◽

Postoperative Outcomes

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Mo1759 - Extraction Site Outcomes Following Subtotal Colectomy in Ulcerative Colitis at a Single Large Urban Tertiary Care Center

Gastroenterology ◽

10.1016/s0016-5085(18)34367-1 ◽

2018 ◽

Vol 154 (6) ◽

pp. S-1335

Author(s):

Christopher R. LaChapelle ◽

Stewart Whitney ◽

Allison Salk ◽

Songhon Hwang ◽

Alexander Greenstein

Keyword(s):

Ulcerative Colitis ◽

Subtotal Colectomy ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Extraction Site

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Fulminant Ulcerative Colitis in Late Pregnancy and the Puerperium

Journal of the Royal Society of Medicine ◽

10.1177/014107688708000812 ◽

1987 ◽

Vol 80 (8) ◽

pp. 492-494 ◽

Cited By ~ 51

Author(s):

J B Anderson ◽

G M Turner ◽

R C N Williamson

Keyword(s):

Ulcerative Colitis ◽

Vaginal Delivery ◽

Subtotal Colectomy ◽

Late Pregnancy ◽

Third Trimester ◽

Maternal Deaths ◽

The Third ◽

Toxic Dilatation ◽

Emergency Colectomy ◽

Fulminant Ulcerative Colitis

Four patients underwent emergency colectomy during pregnancy or the puerperium for complications of ulcerative proctocolitis. Three had inactive colitis at conception, while in the fourth the disease started during pregnancy. Three patients required subtotal colectomy and ileostomy for toxic dilatation during the third trimester or within 5 days of delivery, and the fourth underwent proctocolectomy postpartum for intractable colitis. There were no maternal deaths but 2 of 4 infants died. One child weighing 1.4 kg survived vaginal delivery during the 33rd week of pregnancy, 2 weeks after his mother had undergone emergency colectomy.

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The Handling of the Rectal Stump Does Not Affect Severe Morbidity After Subtotal Colectomy For Ulcerative Colitis: A Retrospective Cohort Study

Scandinavian Journal of Surgery ◽

10.1177/1457496919857269 ◽

2019 ◽

Vol 109 (3) ◽

pp. 238-243

Author(s):

M. Lissel ◽

S. Omidy ◽

P. Myrelid ◽

M. Block ◽

E. Angenete

Keyword(s):

Risk Factors ◽

Ulcerative Colitis ◽

Body Mass Index ◽

Emergency Surgery ◽

Retrospective Cohort ◽

Subtotal Colectomy ◽

Rectal Stump ◽

Aminosalicylic Acid ◽

Severe Morbidity ◽

Preoperative Medication

Background and Aims: Colectomy due to ulcerative colitis is associated with complications. One severe complication is the risk for blow-out of the remaining rectal remnant. The aim of this study was to compare the frequency and severity of complications in patients with the rectal remnant left subcutaneously versus patients with the rectal remnant left intra-abdominally. A secondary aim was to identify risk factors for complications. Materials and Methods: Consecutive patients at two tertiary centers in Sweden were retrospectively reviewed regarding surgical procedures; complications classified according to Clavien–Dindo; and possible risk factors for complications such as preoperative medication, emergency surgery, and body mass index. Results: 307 patients were identified. Minor complications were more common than previously reported (85%–89%). Severe surgical complications were not related to the handling of the rectal remnant. Leaving the rectal remnant subcutaneously was associated with local wound problems. Risk factors for severe complications were emergency surgery and preoperative medication with 5-aminosalicylic acid. Conclusion: Minor complications after colectomy for ulcerative colitis are very common and need to be addressed. Leaving the rectal stump intra-abdominally seems safe and may be advantageous to reduce local wound morbidity.

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