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Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature
Joint Authors
Nguyen, James
Jambhekar, Amani
Nasrawi, Ziyad
Gudavalli, Prasad
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-06
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
In patients who have undergone resection for rectal cancer after neoadjuvant radiotherapy, loop ileostomy is commonly performed with few serious complications.
In rare cases, if this irradiated small bowel is strictured, reversal of the affected ileostomy can have dire consequences.
We present a case of a 62-year-old male with recurrent intestinal obstruction after closure of his loop ileostomy.
Case Report.
RC is a 62-year-old male who initially presented with rectal cancer and underwent neoadjuvant chemoradiation prior to a laparoscopic low anterior resection with diverting loop ileostomy.
He underwent elective reversal of his ileostomy and developed persistent postoperative obstruction.
He underwent resection of the prior reversal site with normal-appearing dilated proximal bowel loops and collapsed distal bowel loops.
He again developed an obstructive picture and underwent resection of the prior anastomosis with creation of an ileocolic anastomosis, after which he recovered well postoperatively.
Conclusion.
In patients who receive radiation adjuvant therapy for colon cancer, radiation-induced stricture should be considered as a cause of small bowel obstruction postoperative.
In the setting of a longstanding ileostomy, evaluation of a defunctionalized distal ileum may be necessary to evaluate potential obstruction from radiation changes.
American Psychological Association (APA)
Nguyen, James& Jambhekar, Amani& Nasrawi, Ziyad& Gudavalli, Prasad. 2019. Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature. Case Reports in Surgery،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1144821
Modern Language Association (MLA)
Nguyen, James…[et al.]. Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature. Case Reports in Surgery No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1144821
American Medical Association (AMA)
Nguyen, James& Jambhekar, Amani& Nasrawi, Ziyad& Gudavalli, Prasad. Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature. Case Reports in Surgery. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1144821
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144821