AI Article Synopsis

  • A 61-year-old male underwent surgery for rectal cancer, which left him with lymphatic cysts and lower abdominal fullness four months later.
  • After a CT scan revealed bilateral intra-pelvic abscesses, he had a tube-drainage procedure that reduced enlargement but left a persistent serous discharge.
  • The treatment involved administering OK-432 into the lymphatic cysts, which successfully decreased the discharge and closed the fistula.

Article Abstract

We herein report a case of successful treatment with OK-432 administration into lymphatic cyst formed after resection of rectal cancer. A 61-year-old male patient underwent a very low anterior resection with D3 lymphadenectomy for locally advanced rectal cancer. Four months after the surgery, he arrived at our department with lower abdominal fullness. He was diagnosed as having bilateral intra-pelvic abscess by CT scan, and underwent a tube-drainage. After drainage, abscess lesions were shrunk, but a serous discharge remained. Because we diagnosed lymphatic cysts caused by the delayed lymphatic discharge after lymphadenectomy, an administration of OK-432 into cysts was performed. After administration, the discharge was decreased, and then fistula was closed.

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