Ischemic proctitis complicating fecal impaction
- PDF / 715,288 Bytes
- 2 Pages / 595.276 x 790.866 pts Page_size
- 28 Downloads / 186 Views
THE LAST IMAGE
Ischemic proctitis complicating fecal impaction V. Zimmer1,2 · C. Heinrich3 Received: 4 September 2020 / Accepted: 1 October 2020 © Springer Nature Switzerland AG 2020
Constipation-related colorectal complications are rare. However, fecal impaction causing (stercoral) ulcer forma‑ tion may occur, potentially provoking bleeding and/or per‑ foration [1, 2]. A 70-year-old male presented with signs of lower gastrointestinal bleeding. Digital rectal examination indicated fecal impaction, which was partially disimpacted
manually. After a 2-day colon prep, the hemodynamically stable patient underwent ileocolonoscopy which revealed ischemic proctitis. The clinical course was uncomplicated with resolution of the initially pronounced systemic inflam‑ mation (Fig. 1).
* V. Zimmer [email protected] C. Heinrich c.heinrich@pathologie‑saarbruecken.de 1
Department of Medicine, Marienhausklinik St. Josef Kohlhof, Klinikweg 1‑5, 66539 Neunkirchen, Germany
2
Department of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany
3
Insitute of Pathology Saarbrücken-Rastpfuhl, Saarbrücken, Germany
13
Vol.:(0123456789)
Techniques in Coloproctology
Fig. 1 a, b Ulceration in the mid-rectum with discrete discoloration and superficial mucosal necrosis, suggestive of ischemic proctitis complicating fecal impaction. c, d Pathology consistent with ischemia
with regenerative glandular changes and crypt hyperplasia. e Repeat endoscopy 4 weeks later indicating near-complete healing with insig‑ nificant stricturing
Compliance with ethical standards
References
Conflict of interest The authors declare that they have no conflict of interest.
1. Naseer M, Gandhi J, Chams N et al (2017) Stercoral colitis com‑ plicated with ischemic colitis: a double-edge sword. BMC Gas‑ troenterol 17:129 2. Huang CC, Wang IF, Chiu HH (2011) Lower gastrointestinal bleeding caused by stercoral ulcer. CMAJ 183:E134
Ethical approval This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent For this type of study, formal consent is not required.
13
Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Data Loading...
