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Local regrowth of extraluminal tumor deposit after clinical complete response of rectal cancer: a case report.
Gastroenterol Rep (Oxf)
May 2024
Division of Colorectal Surgery, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China.
Complex Tunneling Perirectal Abscess: Intra-abdominal and Extraperitoneal Extension of a Persistent Perirectal Abscess.
Cureus
April 2024
General Surgery, BronxCare Health System, New York, USA.
Deep-tissue extension of perianal and perirectal abscesses, while rare, requires timely diagnosis and emergent surgical intervention to prevent serious secondary complications. This report evaluates a case of intra-abdominal and extraperitoneal extension of a persistent perirectal abscess that required comprehensive irrigation, drainage, and debridement of multiple abscess-associated cavities. This report follows the case of a 24-year-old African-American female presenting to the ED with mild fevers, nausea, abdominal distension, and lower abdominal pain following a persistent perirectal abscess that had not resolved following conservative outpatient antibiotic management one week prior.
View Article and Find Full Text PDFManagement after non-curative endoscopic resection of T1 rectal cancer.
Best Pract Res Clin Gastroenterol
February 2024
Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.
Since the introduction of population-based screening, increasing numbers of T1 rectal cancers are detected and removed by local endoscopic resection. Patients can be cured with endoscopic resection alone, but there is a possibility of residual tumor cells remaining after the initial resection. These can be located intraluminally at the resection site or extraluminally in the form of (lymph node) metastases.
View Article and Find Full Text PDFTrauma to the solid abdominal organs: The missed dark box of colonoscopy.
World J Gastroenterol
February 2024
Department of Hepatology, Gastroenterology, and Infectious Diseases, Kafrelsheikh University, Kafr-Elshikh 33516, Egypt.
Colonoscopy is an integral part of the lower bowel care and is generally considered a potentially safe diagnostic and therapeutic procedure performed as a daycare outpatient procedure. Colonoscopy is associated with different complications that are not limited to adverse events related to the bowel preparation solutions used, the sedatives used, but to the procedure related as well including bleeding and perforation. Injuries to the extra-luminal abdominal organs during colonoscopy are uncommon, however, serious complications related to the procedure have been reported infrequently in the literature.
View Article and Find Full Text PDFPneumoperitoneum Secondary to Necrotic Intra-abdominal Lymph Node.
Cureus
October 2023
Trauma, Acute, and Critical Care Surgery, Trinity Health Ann Arbor Hospital, Ann Arbor, USA.
Pneumoperitoneum is often treated as a surgical emergency as the most common etiology is perforated hollow viscus. Here, we present the case of a man in his 70s who presented to the emergency department with fever and abdominal pain. On physical exam, he was diffusely tender in the bilateral lower quadrants with guarding.
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