Rectal Obstruction | ScienceGate

Abstract Background Approximately 20% of colorectal cancer patients show complete or incomplete bowel obstruction as an early symptom. Preoperative nonsurgical decompression such as placing a self-expanding metallic stent for malignant colorectal obstruction has been shown to be effective for reducing perioperative morbidity and mortality. However, there is a lack of published studies reporting robot-assisted laparoscopic surgery (RALS) after self-expanding metallic stent (SEMS) placement for malignant rectal obstruction (MRO). To our knowledge, this is the first report to do so. Case presentation An 80-year-old man with incomplete paralysis of the lower limbs as well as bladder–rectal disorder due to a spine fracture sustained in a fall accident 26 years ago presented with lower abdominal pain and vomiting. Abdominal multi-detector computed tomography revealed an obstructive rectal tumor with distended bowel on the oral side. Emergency colonoscopy was performed, and an SEMS placed. The patency of SEMS and decompression of the distended bowel was confirmed, and elective RALS was performed 29 days after SEMS placement. To our knowledge, this is the first report of RALS after decompression with SEMS placement for MRO. Conclusions RALS after SEMS placement is a safe and feasible therapeutic strategy for MRO.

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Rectal obstruction by carcinoma of the prostate

The American Journal of Surgery ◽

10.1016/0002-9610(58)90918-8 ◽

1958 ◽

Vol 96 (2) ◽

pp. 319-323 ◽

Cited By ~ 3

Author(s):

J.Tate Mason ◽

William B Crenshaw

Keyword(s):

Carcinoma Of The Prostate ◽

Rectal Obstruction

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Dynamic chronic rectal obstruction causing a severe colonic dilatation in a cat

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116917725222 ◽

2017 ◽

Vol 3 (2) ◽

pp. 205511691772522

Author(s):

Sofia García-Pertierra ◽

Esteban Gonzàlez-Gasch ◽

Carmen Catalá Puyol ◽

Jose María Closa Boixeda

Keyword(s):

Dynamic Compression ◽

Dynamic Nature ◽

Referral Centre ◽

Canal Stenosis ◽

Case Summary ◽

Abdominal Radiographs ◽

History Of ◽

Colonic Distension ◽

The Right ◽

Rectal Obstruction

Case summary A 5-year-old male neutered domestic shorthair cat was presented to our referral centre with a 13 month history of chronic tenesmus due to malunion of the right caudal iliac body. Constipation and pelvic canal stenosis were initially addressed by the referring veterinarian with a right femoral head and neck excision and a right acetabulectomy without observable clinical improvement. At admission, abdominal radiographs revealed severe colonic distension and a narrowed pelvic canal caused by the right proximal femur. Rectal examination and colonography revealed a dynamic compression of the rectum, which worsened with femoral abduction and improved with femoral adduction. A right hindlimb amputation was performed to relieve the obstruction. The cat defaecated 2 days postoperatively and was discharged uneventfully. Neither faecal tenesmus nor dyschaezia were observed over the following 10 months. Relevance and novel information The dynamic nature of the rectal obstruction most likely prevented the development of an irreversible colonic dilatation leading to a megacolon. This is the first report describing a chronic dynamic rectal compression, which was successfully managed with a right hindlimb amputation without the need for subtotal colectomy.

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