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Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene
Joint Authors
Mizokami, Ken
Nishida, Kazuhiro
Kubota, Tadao
Okumura, Kenji
Lefor, Alan T.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-31
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Anal stenosis is a rare but serious complication of anorectal surgery.
Severe anal stenosis is a challenging condition.
Case Presentation.
A 70-year-old Japanese man presented with a ten-hour history of continuous anal pain due to incarcerated hemorrhoids.
He had a history of reducible internal hemorrhoids and was followed for 10 years.
He had a fever and nonreducible internal hemorrhoids surrounding necrotic soft tissues.
He was diagnosed as Fournier’s gangrene and treated with debridement and diverting colostomy.
He needed temporary continuous renal replacement therapy and was discharged on postoperative day 39.
After four months, severe anal stenosis was found on physical examination, and total colonoscopy showed a complete anal stricture.
The patient was brought to the operating room and underwent colostomy closure and anoplasty.
He recovered without any complications.
Conclusion.
We present a first patient with a complete anal stricture after diverting colostomy treated with anoplasty and stoma closure.
This case reminds us of the assessment of distal bowel conduit and might suggest that anoplasty might be considered in the success of the colostomy closure.
American Psychological Association (APA)
Okumura, Kenji& Kubota, Tadao& Nishida, Kazuhiro& Lefor, Alan T.& Mizokami, Ken. 2017. Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene. Case Reports in Surgery،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150069
Modern Language Association (MLA)
Okumura, Kenji…[et al.]. Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene. Case Reports in Surgery No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1150069
American Medical Association (AMA)
Okumura, Kenji& Kubota, Tadao& Nishida, Kazuhiro& Lefor, Alan T.& Mizokami, Ken. Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene. Case Reports in Surgery. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150069
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150069