Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(02): E186-E189
DOI: 10.1055/s-0043-117946
Case report
Eigentümer und Copyright ©Georg Thieme Verlag KG 2018

A case of a rectal stricture related to ischemic proctitis following rupture of an aortic aneurysm

Tomoya Iida
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Yosuke Ohkubo
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Toshiyuki Kubo
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Kentaro Yamashita
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Kei Onodera
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Eiichiro Yamamoto
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Katsuhiko Nosho
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Toshiro Ito
2   Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Hokkaido, Japan
,
Hiroo Yamano
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
,
Hiroshi Nakase
1   Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine. Hokkaido, Japan
› Author Affiliations
Further Information

Publication History

submitted 19 January 2017

accepted after revision 27 June 2017

Publication Date:
01 February 2018 (online)

Also available at
   Permissions and Reprints

Abstract

Background and study aims Ischemic proctitis is a rare disease and comprises 2 % to 5 % of cases of ischemic colitis, because the rectum has abundant blood supply and rich collaterals. Herein, we report a case of a 73-year-old male patient with a pronounced rectal stricture caused by ischemic proctitis resulting from an abdominal aortic rupture and treated by endoscopic balloon dilation therapy. To date, only 3 cases of rectal stricture related to ischemic proctitis including our case have been reported, and this is the first case of rectal stricture related to ischemic proctitis, which was successfully treated by endoscopic balloon dilation.

 

  • References

  • 1 Brandt LJ, Boley SJ. AGA technical review on intestinal ischemia. American Gastrointestinal Association. Gastroenterology 2000; 118: 954-996
    CrossrefPubMedGoogle Scholar
  • 2 Montoro MA, Brandt LJ, Santolaria S. et al. Clinical patterns and outcomes of ischaemic colitis: results of the Working Group for the Study of Ischaemic Colitis in Spain (CIE study). Scand J Gastroenterol 2011; 46: 236-246
    CrossrefPubMedGoogle Scholar
  • 3 Marston A, Pheilis MT, Thomas ML. et al. Ischemic colitis. Gut 1966; 7: 1-15
    CrossrefPubMedGoogle Scholar
  • 4 Marston A. Intestinal ischemia. First edition. London: Edward Arnold; 1977: 143-175
    Google Scholar
  • 5 Nelson RL, Schuler JJ. Ischemic proctitis. Surg Gynecol Obstet 1982; 154: 22-27
    PubMedGoogle Scholar
  • 6 Flynn AD, Valentine JF. Update on the Diagnosis and Management of Colon Ischemia. Curr Treat Options Gastroenterol 2016; 14: 128-139
    CrossrefPubMedGoogle Scholar
  • 7 Sharif S, Hyser M. Ischemic proctitis: case series and literature review. Am Surg 2006; 72: 1241-1247
    PubMedGoogle Scholar
  • 8 Lee MJ, Daniels SL, Drake TM. et al. Risk factors for ischaemic colitis after surgery for abdominal aortic aneurysm: a systematic review and observational meta-analysis. Int J Colorectal Dis 2016; 31: 1273-1281
    CrossrefPubMedGoogle Scholar
  • 9 Lane TM, Bentley PG. Rectal strictures following abdominal aortic aneurysm surgery. Ann R Coll Surg Engl 2000; 82: 421-423
    PubMedGoogle Scholar
  • 10 Curr JF. Rectal stricture due to ischaemia following ruptured ectopic gestation. Gut 1967; 8: 178-179
    CrossrefPubMedGoogle Scholar