Annals of Coloproctology

Volume 28(2); April 2012

Editorials

Comparison of a Fistulectomy and a Fistulotomy with Marsupialization in the Management of a Simple Anal Fistula: A Randomized, Controlled Pilot Trial: Do Sun Kim; J Korean Soc Coloproctol. 2012;28(2):67-68. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.67

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Anti TNF treatment of complex perianal fistulas in children without luminal Crohn's disease: Is it an option?
Firas Rinawi, Mary-Louise C. Greer, Thomas Walters, Peter C. Church, Amanda Ricciuto, Jacob C. Langer, Anne M Griffiths
Journal of Pediatric Surgery.2022; 57(11): 569. CrossRef
The Effect of Topical and Oral Phenytoin on Increasing Wound Healing of Enterocutaneus Fistula in Wistar Rat
Victor Kurniawan, Hardian Hardian, Ignatius Riwanto
Open Access Macedonian Journal of Medical Sciences.2022; 10(A): 997. CrossRef
Operation for Posterior Intersphincteric Anal Fistula -Procedures of Fistulotomy-
Naoki Yago
Nippon Daicho Komonbyo Gakkai Zasshi.2013; 66(10): 1026. CrossRef

Is Abdominal Computed Tomography Helpful for the Management of an Intestinal Obstruction Caused by a Bezoar?: Byung-Kwon Ahn; J Korean Soc Coloproctol. 2012;28(2):69-70. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.69

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A Rare Cause of Small Bowel Obstruction: A Case Report
Piaopiao Chen, Qiang Hu, Jinfeng Wu, Yuanshui Sun
Frontiers in Surgery.2022;[Epub] CrossRef
A Magnesium Oxide Bezoar
Masaya Iwamuro, Shunsuke Saito, Masao Yoshioka, Haruo Urata, Kumiko Ueda, Kazuhide Yamamoto, Hiroyuki Okada
Internal Medicine.2018; 57(21): 3087. CrossRef

Factors Influencing Oncologic Outcomes after Tumor-specific Mesorectal Excision for Rectal Cancer: Kil Yeon Lee; J Korean Soc Coloproctol. 2012;28(2):71-72. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.71

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Required distal mesorectal resection margin in partial mesorectal excision: a systematic review on distal mesorectal spread
A. A. J. Grüter, A. S. van Lieshout, S. E. van Oostendorp, J. C. F. Ket, M. Tenhagen, F. C. den Boer, R. Hompes, P. J. Tanis, J. B. Tuynman
Techniques in Coloproctology.2023; 27(1): 11. CrossRef
The feasibility of laparoscopic TSME preserving the left colic artery and superior rectal artery for upper rectal cancer
Chi Zhang, Hao-tang Wei, Wenqing Hu, Yueming Sun, Qinyuan Zhang, Masanobu Abe, Zhuoran Du, Yingying Xu, Liang Zong, Xiang Hu
World Journal of Surgical Oncology.2020;[Epub] CrossRef
High nodal positivity rates even in good clinical responders after chemoradiation of rectal cancer: is organ preservation feasible?
K. C. Vallam, R. Engineer, A. Desouza, P. Patil, A. Saklani
Colorectal Disease.2016; 18(10): 976. CrossRef

Review

Aluminum Potassium Sulfate and Tannic Acid Injection for Hemorrhoids: Seok Won Lim; J Korean Soc Coloproctol. 2012;28(2):73-77. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.73

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Abstract PDF

A quick hemostatic effect, as well as sclerosing and shrinkage of hemorrhoids, can be attained when internal hemorrhoids are treated by using injection therapy with aluminum potassium sulfate and tannic acid (ALTA), the outcomes of treatment may be similar to those of a hemorrhoidectomy. However, if the type of hemorrhoid or the method of injection is not appropriate for ALTA treatment, complications peculiar to ALTA or recurrence may develop. Accordingly, sufficient understanding of the treatment mechanism of ALTA injection and repeated training for injection are required for effective use of the ALTA treatment.

Citations

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Aluminum potassium sulfate and tannic acid (ALTA) sclerotherapy for hemorrhoidal disease: a systematic review and meta-analysis
Vasiliki Manaki, Vangelis Bontinis, Alkis Bontinis, Argirios Giannopoulos, Ioannis Kontes, Angeliki Chorti, Kiriakos Ktenidis
Acta Chirurgica Belgica.2024; 124(4): 253. CrossRef
Efficacy and Safety of a New Technique Combining Injection Sclerotherapy and External Hemorrhoidectomy for Prolapsed Hemorrhoids: A Single-center Observational Study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Akane Ito, Kenji Watanabe, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki, Yusuke Saitoh, Masanori Murakami
Journal of the Anus, Rectum and Colon.2024; 8(4): 331. CrossRef
ANTI-HEMORRHOIDAL ACTIVITY OF AYURVEDIC CREAM IN RATS
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INDIAN DRUGS.2023; 60(01): 84. CrossRef
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Alex Furtwängler
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Taste of phytocompounds: A better predictor for ethnopharmacological activities of medicinal plants than the phytochemical class?
Dorin Dragos, Marilena Gilca
Journal of Ethnopharmacology.2018; 220: 129. CrossRef
Changes in anorectal physiology following injection sclerotherapy using aluminum potassium sulfate and tannic acid versus transanal repair in patients with symptomatic rectocele; a retrospective cohort study
Joo Hyung Kim, Yong Pyo Lee, Kwang Wook Suh
BMC Surgery.2018;[Epub] CrossRef
Extraoral Taste Receptor Discovery: New Light on Ayurvedic Pharmacology
Marilena Gilca, Dorin Dragos, Marco Leonti
Evidence-Based Complementary and Alternative Medicine.2017;[Epub] CrossRef
Liver injury after aluminum potassium sulfate and tannic acid treatment of hemorrhoids
Kenichi Yoshikawa, Reimi Kawashima, Yuki Hirose, Keiko Shibata, Takafumi Akasu, Noriko Hagiwara, Takeharu Yokota, Nami Imai, Akira Iwaku, Go Kobayashi, Hirohiko Kobayashi, Akiyoshi Kinoshita, Nao Fushiya, Hiroyuki Kijima, Kazuhiko Koike, Masayuki Saruta
World Journal of Gastroenterology.2017; 23(27): 5034. CrossRef
Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid
Yuichi Tomiki, Seigo Ono, Jun Aoki, Rina Takahashi, Shun Ishiyama, Kiichi Sugimoto, Yukihiro Yaginuma, Yutaka Kojima, Michitoshi Goto, Atsushi Okuzawa, Kazuhiro Sakamoto
Diagnostic and Therapeutic Endoscopy.2015; 2015: 1. CrossRef
Aluminum Potassium Sulfate and Tannic Acid - A New Option for the Treatment of Grade 3 Hemorrhoids
Yong Hee Hwang
Annals of Coloproctology.2015; 31(3): 83. CrossRef
Comparison of Injection Sclerotherapy Between 5% Phenol in Almond Oil and Aluminum Potassium Sulfate and Tannic Acid for Grade 3 Hemorrhoids
Takaaki Yano, Kenji Yano
Annals of Coloproctology.2015; 31(3): 103. CrossRef
Distal Hemorrhoidectomy With ALTA Injection: A New Method for Hemorrhoid Surgery
Tatsuya Abe, Yoshikazu Hachiro, Yoshiaki Ebisawa, Houhei Hishiyama, Masao Kunimoto
International Surgery.2014; 99(3): 295. CrossRef

Original Articles

Comparison of a Fistulectomy and a Fistulotomy with Marsupialization in the Management of a Simple Anal Fistula: A Randomized, Controlled Pilot Trial: Bhupendra Kumar Jain, Kumar Vaibhaw, Pankaj Kumar Garg, Sanjay Gupta, Debajyoti Mohanty; J Korean Soc Coloproctol. 2012;28(2):78-82. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.78

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Abstract PDF

Purpose

This randomized clinical trial was conducted to compare a fistulectomy and a fistulotomy with marsupialization in the management of a simple anal fistula.

Methods

Forty patients with simple anal fistula were randomized into two groups. Fistulous tracts were managed by using a fistulectomy (group A) while a fistulotomy with marsupialization was performed in group B. The primary outcome measure was wound healing time while secondary outcome measures were operating time, postoperative wound size, postoperative pain, wound infection, anal incontinence, recurrence and patient satisfaction.

Results

Postoperative wounds in group B healed earlier in comparison to group A wounds (4.85 ± 1.39 weeks vs. 6.75 ± 1.83 weeks, P = 0.035). No significant differences existed between the operating times (28.00 ± 6.35 minutes vs. 28.20 ± 6.57 minutes, P = 0.925) and visual analogue scale scores for postoperative pain on the first postoperative day (4.05 ± 1.47 vs. 4.50 ± 1.32, P = 0.221) for the two groups. Postoperative wounds were larger in group A than in group B (2.07 ± 0.1.90 cm² vs. 1.23 ± 0.87 cm²), however this difference did not reach statistical significance (P = 0.192). Wound discharge was observed for a significantly longer duration in group A than in group B (4.10 ± 1.91 weeks vs. 2.75 ± 1.71 weeks, P = 0.035). There were no differences in social and sexual activities after surgery between the patients of the two groups. No patient developed anal incontinence or recurrence during the follow-up period of twelve weeks.

Conclusion

In comparison to a fistulectomy, a fistulotomy with marsupialization results in faster healing and a shorter duration of wound discharge without increasing the operating time.

Citations

Citations to this article as recorded by

European Society of Coloproctology: Guidelines for diagnosis and treatment of cryptoglandular anal fistula
Lillian Reza, Kevin Gottgens, Jos Kleijnen, Stephanie Breukink, Peter C. Ambe, Felix Aigner, Erman Aytac, Gabriele Bislenghi, Andreas Nordholm‐Carstensen, Hossam Elfeki, Gaetano Gallo, Ugo Grossi, Baris Gulcu, Nusrat Iqbal, Rosa Jimenez‐Rodriguez, Sezai L
Colorectal Disease.2024; 26(1): 145. CrossRef
Use of Non-Thermal Plasma as Postoperative Therapy in Anal Fistula: Clinical Experience and Results
Régulo López-Callejas, Pasquinely Salvador Velasco-García, Mario Betancourt-Ángeles, Benjamín Gonzalo Rodríguez-Méndez, Guillermo Berrones-Stringel, César Jaramillo-Martínez, Fernando Eliseo Farías-López, Antonio Mercado-Cabrera, Raúl Valencia-Alvarado
Biomedicines.2024; 12(8): 1866. CrossRef
The efficacy of Ksharsutra, Fistulectomy and Ligation of Intersphincteric Fistula Tract (LIFT) procedure in management of Fistula in ano a prospective observational study
Chinniahnapalaya Pandurangaiah Hariprasad, Anil Kumar, Manoj Kumar, Manoj Kumar, Shiv Shankar Paswan, Gupta Rohit, Shiv Kishor, Prem Kumar
BMC Surgery.2023;[Epub] CrossRef
Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis
S. Bhat, W. Xu, C. Varghese, N. Dubey, C. I. Wells, C. Harmston, G. O’Grady, I. P. Bissett, A. Y. Lin
Techniques in Coloproctology.2023; 27(10): 827. CrossRef
Spaltung von Analfisteln – noch zeitgemäß?
Ralph Schneider, Andreas Ommer
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The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula
Wolfgang B. Gaertner, Pamela L. Burgess, Jennifer S. Davids, Amy L. Lightner, Benjamin D. Shogan, Mark Y. Sun, Scott R. Steele, Ian M. Paquette, Daniel L. Feingold
Diseases of the Colon & Rectum.2022; 65(8): 964. CrossRef
Fistulotomy versus Fistulectomy for Fistula-in-Ano: A Randomized Prospective Study
Srikantaiah Chandra Sekhariah Hiremath, Rakesh Patil
The Surgery Journal.2022; 08(04): e336. CrossRef
A meta-analysis of marsupialisation versus none in the treatment of simple fistula-in-ano
Shaheel Mohammad Sahebally, Lisa O’Byrne, Alexandra Troy, Kevin Gerard Byrnes, John Burke, Deborah McNamara
International Journal of Colorectal Disease.2021; 36(3): 429. CrossRef
Simple fistula-in-ano: is it all simple? A systematic review
F. Litta, A. Parello, L. Ferri, N. O. Torrecilla, A. A. Marra, R. Orefice, V. De Simone, P. Campennì, M. Goglia, C. Ratto
Techniques in Coloproctology.2021; 25(4): 385. CrossRef
Is Fistulotomy with Marsipulization more Effective than Fistulectomy alone for Low Fistula in Ano?
Danish Aslam, Farhan Zaheer, Sarush Ahmed Siddiqui, Foad Ali Moosa, Shafaq Naseer, Rabia Arsalan, Muhammed Osama
Journal of Coloproctology.2021; 41(04): 355. CrossRef
Surgical Management of Idiopathic Perianal Fistulas: A Systematic Review and Meta-Analysis
Xinyi Cherry Cheung, Tom Fahey, Ailin C. Rogers, John Hogeland Pemberton, Dara Oliver Kavanagh
Digestive Surgery.2021; 38(2): 104. CrossRef
The management of cryptoglandular fistula-in-ano
Matthew Sammut, Paul Skaife
British Journal of Hospital Medicine.2020; 81(1): 1. CrossRef
Intra‐anal fistulotomy with marsupialization for recurrent high intersphincteric fistula – a video vignette
N. E. Samalavicius, V. Klimasauskiene, A. Dulskas
Colorectal Disease.2020; 22(10): 1450. CrossRef
Keyhole deformity – routinely heard, commonly feared but perhaps never seen!
Pankaj Garg
Acta Chirurgica Belgica.2020; 120(5): 361. CrossRef
A randomized controlled trial on the effect of topical phenytoin 2% on wound healing after anal fistulotomy
A. Sanad, S. Emile, W. Thabet, R. Ellaithy
Colorectal Disease.2019; 21(6): 697. CrossRef
Drainage Seton Versus External Anal Sphincter–Sparing Seton After Rerouting of the Fistula Tract in the Treatment of Complex Anal Fistula: A Randomized Controlled Trial
Waleed Omar, Abdallah Alqasaby, Mahmoud Abdelnaby, Mohamed Youssef, Mostafa Shalaby, Mohamed Anwar Abdel-Razik, Sameh Hany Emile
Diseases of the Colon & Rectum.2019; 62(8): 980. CrossRef
Fistulotomy with or without marsupialisation of wound edges in treatment of simple anal fistula: a randomised controlled trial
M Anan, SH Emile, H Elgendy, M Shalaby, A Elshobaky, MA Abdel-Razik, SA Elbaz, M Farid
The Annals of The Royal College of Surgeons of England.2019; 101(7): 472. CrossRef
The treatment of anal fistula: secondACPGBIPosition Statement – 2018
G. Williams, A. Williams, P. Tozer, R. Phillips, A. Ahmad, D. Jayne, C. Maxwell‐Armstrong
Colorectal Disease.2018; 20(S3): 5. CrossRef
S3-Leitlinie: Kryptoglanduläre Analfisteln
A. Ommer, A. Herold, E. Berg, S. Farke, A. Fürst, F. Hetzer, A. Köhler, S. Post, R. Ruppert, M. Sailer, T. Schiedeck, O. Schwandner, B. Strittmatter, B. H. Lenhard, W. Bader, S. Krege, H. Krammer, E. Stange
coloproctology.2017; 39(1): 16. CrossRef
The best surgical strategy for anal fistula based on a network meta-analysis
Qi Wang, Yukun He, Jun Shen
Oncotarget.2017; 8(58): 99075. CrossRef
Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula
Jon D. Vogel, Eric K. Johnson, Arden M. Morris, Ian M. Paquette, Theodore J. Saclarides, Daniel L. Feingold, Scott R. Steele
Diseases of the Colon & Rectum.2016; 59(12): 1117. CrossRef
Meta-analysis of randomized clinical trials comparing fistulectomy versus fistulotomy for low anal fistula
Yansong Xu, Siyuang Liang, Weizhong Tang
SpringerPlus.2016;[Epub] CrossRef
Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review
C. Ratto, F. Litta, L. Donisi, A. Parello
Techniques in Coloproctology.2015; 19(7): 391. CrossRef
Triple procedure for complex anal fistula
B. K. Jain, P. K. Garg
Techniques in Coloproctology.2015; 19(1): 47. CrossRef
COMPARATIVE STUDY OF FISTULECTOMY BY CORING TECHNIQUE IN FISTULA IN ANO, USING RADIOFREQUENCY CAUTERY AND MONOPOLAR CAUTERY
Madhura M Killedar, Kulkarni S H, Honeypalsinh H Maharaul
Journal of Evolution of Medical and Dental Sciences.2015; 4(99): 16411. CrossRef
Combined partial fistulectomy and electro-cauterization of the intersphincteric tract as a sphincter-sparing treatment of complex anal fistula: clinical and functional outcome
A. A. Shafik, O. El Sibai, I. A. Shafik
Techniques in Coloproctology.2014; 18(11): 1105. CrossRef
« B.A.-BA SANS EBM…» du traitement des abces et des fistules anales: 10 questions basiques (… ou à se poser fréquemment)
A. Senéjoux, L. Siproudhis
Côlon & Rectum.2013; 7(4): 228. CrossRef
Operation for Posterior Intersphincteric Anal Fistula -Procedures of Fistulotomy-
Naoki Yago
Nippon Daicho Komonbyo Gakkai Zasshi.2013; 66(10): 1026. CrossRef

Intestinal Anastomosis by Use of a Memory-shaped Compression Anastomosis Clip (Hand CAC 30): Early Clinical Experience: Hak-Youn Lee, Jin-Hee Woo, Si-Young Park, Nam-Wook Kang, Ki-Jae Park, Hong-Jo Choi; J Korean Soc Coloproctol. 2012;28(2):83-88. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.83

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8 Citations

Abstract PDF

Purpose

The safety and the efficacy of the compression anastomosis clip (Hand CAC 30) have been demonstrated by animal studies. This study was designed to evaluate the clinical validity of the Hand CAC 30 in enterocolic side-to-side anastomosis after colonic or enteric resections.

Methods

A non-randomized prospective data collection was performed for patients undergoing a side-to-side anastomosis using the Hand CAC 30. Eligibility criteria for the use of the Hand CAC 30 were for anastomoses between the colon and the ileum or between two small bowels. The primary short-term endpoint was the rate of anastomotic leakage. Other clinical outcomes, including intra- and postoperative complications, length of operation time and hospital stay, and the clip elimination time were recorded.

Results

A total of 63 patients (male, 36) underwent an enteric or right-sided colonic resection followed by a side-to-side anastomosis using the Hand CAC 30. Laparoscopic surgery was performed in 36 patients, in whom one patient who underwent a laparoscopic right hemicolectomy was converted to an open procedure (1/32, 3.1%). One patient with ascending colon cancer showed postoperative anastomotic leakage and died of co-morbid ischemic heart disease. There were no other surgical mortalities. The exact date of expulsion of the clip could not be recorded because most patients were not aware of clip elimination. No patients manifested clinical symptoms of anastomotic stricture.

Conclusion

Short-term evaluation of the Hand CAC 30 anastomosis in patients undergoing enterocolic surgery proved it to be a safe and efficacious alternative to the standard hand-sewn or stapling technique.

Citations

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Comparative early histologic healing quality of magnetic versus stapled small bowel anastomosis
Ana Sofia Ore, Ashley Althoff, David R. Kull, Thomas J. Baldwin, Jeffrey L. Van Eps, Evangelos Messaris
Surgery.2023; 173(4): 1060. CrossRef
An Automatic Suturing Machine for Intestinal Anastomosis: Advantages Compared With Hand-Suturing Technique
Sanaz Mosafer Khoorjestan, Gholamreza Rouhi
Surgical Innovation.2019; 26(2): 209. CrossRef
Biodegradable anastomotic tube prepared from diblock copolymers of mPEG-b-PLA and mPEG-b-PLGA
Xiaodong Zhang, Zuoqian Yu, Feizhao Jiang, Lechi Ye, Jinlei Li, Xingzhao Ye, Chungen Xing
Journal of Macromolecular Science, Part A.2019; 56(7): 667. CrossRef
Anastomosis colorrectales por compresión utilizando el dispositivo NiTi
Quintín Héctor González-Contreras, Mónica de Jesús-Mosso, Jesús Alberto Bahena-Aponte, Omar Aldana-Martínez, Karen Pineda-Solís, Sari Narsil Mejia-Arcadia
Cirugía y Cirujanos.2016; 84(6): 482. CrossRef
Laparoscopic colonic anastomosis using a degradable stent in a porcine model
Liang Ma, Xiu-Jun Cai, Hai-Hong Wang, Yan-Lan Yu, Di-Yu Huang, Guang-Ju Ge, Hai-Yi Hu, Shi-Cheng Yu
World Journal of Gastroenterology.2016; 22(19): 4707. CrossRef
Colorectal anastomosis using a compression device
Quintín Héctor González-Contreras, Mónica de Jesús-Mosso, Jesús Alberto Bahena-Aponte, Omar Aldana-Martínez, Karen Pineda-Solís, Sari Narsil Mejia-Arcadia
Cirugía y Cirujanos (English Edition).2016; 84(6): 482. CrossRef
Long term results of the use of compression anastomosis clips (CAC) in gastrointestinal surgery – the first report
Katarzyna Kuśnierz, Paweł Lampe
Polish Journal of Surgery.2015;[Epub] CrossRef
A nickel–titanium memory-shape device for gastrojejunostomy: comparison of the compression anastomosis clip and a hand-sewn anastomosis
Katarzyna Kusnierz, Zdzislaw Lekston, Dmytro Zhavoronkov, Slawomir Mrowiec, Pawel Lampe
Journal of Surgical Research.2014; 187(1): 94. CrossRef

Bezoar-induced Small Bowel Obstruction: Se Heon Oh, Hwan Namgung, Mi Hyun Park, Dong-Guk Park; J Korean Soc Coloproctol. 2012;28(2):89-93. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.89

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Abstract PDF

Purpose

The aim of this study was to observe the clinical features of a bezoar-induced small bowel obstruction and to investigate the role of abdominal computed tomography (CT) in establishing the diagnosis.

Methods

We retrospectively reviewed 20 cases of bezoar-induced small bowel obstruction in our hospital from 1996 to 2010.

Results

Thirteen patients (65%) had a history of abdominal surgery. Nine patients (45%) were diagnosed with a bezoar before surgery, seven patients were diagnosed by using abdominal CT, and two patients were diagnosed with a small bowel series. Abdominal CT was performed in 15 patients, and the diagnostic accuracy was 47% (7/15). Surgery revealed ten bezoars in the jejunum and 11 in the ileum. Two patients had bezoars found concurrently in the stomach. Spontaneous removal took place in two patients. An enterotomy and bezoar extraction was performed in 15 patients. Fragmentation and milking, a small bowel resection, and a Meckel's diverticulectomy were performed in one patient each. Early operative treatment was possible (P = 0.036) once the bezoar had been diagnosed by using abdominal CT. There tended to be fewer postoperative complications in patients who were diagnosed with a bezoar by using abdominal CT, but the result was not statistically significant (P = 0.712).

Conclusion

A preoperative diagnosis of bezoar-induced small bowel obstruction by using clinical features was difficult. Increased use of abdominal CT led to a more accurate diagnosis and to earlier surgery for bezoar-induced small bowel obstructions, thereby reducing the rate of complications.

Citations

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Small bowel obstruction caused by dehydrated apple ingestion: the challenges of preoperative radiological diagnosis and surgical management
Rama Hala Gamal Mikhail, Siobhan McKay, Mark Goodwin, Osamu Yoshino
BMJ Case Reports.2024; 17(2): e256710. CrossRef
Small bowel obstruction due to a meat bolus bezoar: the second case report in literature
Ammar Albostani, Fadi Kfelati, Wafaa Alsaadi, Rufaida Ahmad Faraman, Aasem Farman
Annals of Medicine & Surgery.2024; 86(2): 1139. CrossRef
Endoscopic lithotripsy combined with drug lithotripsy vs. drug lithotripsy for the treatment of phytobezoars: analysis of 165 cases
Xiao Zheng, Bin Qiu, Xiao-wei Jin, Lin-na Liu, Peng Wang, Hai-jing Yu, Juan Zhang, Wen-jing Geng, Rui Wang, Hua Liu
Surgical Endoscopy.2024; 38(5): 2788. CrossRef
A Rare Case of Gastric Phytobezoar (Diospyrobezoar) in a Healthy Adult
Ahmed M Odeh, Ahmed A Alkhalifa, Mohammed A AlHajji, Alwayah J Alahmed, Jawad H Alsalman, Abdulrahman M AlMulhem, Mohammed S AlGhadeer, Ezzeddin Kurdi, Fatima S Albader, Abdulmohsen Alsuwaigh, Mohammad A Khan
Cureus.2024;[Epub] CrossRef
Evaluation of the location, number and diameter of bezoars in patients with a history of previous gastrointestinal surgery
Ali Muhtaroğlu, Merve Yiğit, Hakan Demir, Uğur Dülger, Muhammed Doğangün, İbrahim Furkan Küçük, Fatih Altintoprak
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Diagnosis of a rare pediatric case of small-bowel obstruction secondary to a phytobezoar in a Meckel’s diverticulum aided by point-of-care ultrasound
Anastasia Zello, David Kirschner
Canadian Journal of Emergency Medicine.2023; 25(3): 244. CrossRef
Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report
Christoforos S. Kosmidis, Chrysi Maria Mystakidou, Nikolaos Varsamis, Charilaos Koulouris, Christina Sevva, Konstantina Papadopoulou, Christina Michael, Nikolaos Iason Katsios, Vasiliki Theodorou, Petrina Miltiadous, Konstantinos Papadopoulos, Konstantino
Medicina.2023; 59(7): 1227. CrossRef
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Alberto Abreu da Silva, Jéssica Ricardo, Andreia Ferreira, Diogo Sousa, José Augusto Martins
Cureus.2023;[Epub] CrossRef
Intestinal bezoar aggravated by hypomotility of ischemic small intestine: A case report
Ting‐Hsuan Chiang, Hsing‐Jung Yeh, Chun‐Chao Chang, Kuan‐Chieh Fang
Advances in Digestive Medicine.2022; 9(1): 52. CrossRef
Khat induced bezoar; a rare cause of small bowel obstruction:a case report
Badhaasaa Beyene, Burka Mohammadsani, Minewor Abdlhadi, Kedest Getachew, Hatae Ahmedin
International Journal of Surgery Case Reports.2022; 91: 106811. CrossRef
Impending perforation near ileocecal junction due to phytobezoar impaction and intraluminal polyp: a case report
Mehwish Mooghal, Asrar Ahmad, Adnan Safi, Wajiha Khan, Naveed Ahmad
Journal of Medical Case Reports.2022;[Epub] CrossRef
Inflammation and Obstruction of the Small Intestine Due to Phytobezoar: a Case Report
Van Trung Hoang, The Huan Hoang, Ngoc Trinh Thi Pham, Vichit Chansomphou, Duc Thanh Hoang
SN Comprehensive Clinical Medicine.2022;[Epub] CrossRef
Small bowel obstruction secondary to a plastic bezoar
Sarah Li-Ling Goh, Christopher Steen, Enoch Wong, Monique Scott
BMJ Case Reports.2022; 15(11): e251438. CrossRef
Small Bowel Obstruction Caused by an Aggressive Weight Loss Diet in a Patient With No Predisposing Factors
Samara C Hassranah, Aryaa Ramnarine, Sangeeta Parbhu, Vijay Naraynsingh
Cureus.2022;[Epub] CrossRef
Hematological manifestations of trichobezoar in a child
S.O. Nykytyuk, R.V. Bodnarchuk, O.R. Boyarchuk, S.S. Levenets, M.V. Dolynna
CHILD`S HEALTH.2022; 16(6): 435. CrossRef
Clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction
Shuai Wang, Xiaohui Yang, Yixiong Zheng, Yulian Wu
Journal of International Medical Research.2021;[Epub] CrossRef
When eating makes you sick – Gastric stump obstruction caused by a phytobezoar. A case report and literature review
Mariana Claro, Daniel Costa Santos, Alberto Abreu Silva, Cláudia Deus, João Grilo, Diogo Sousa, José Augusto Martins
International Journal of Surgery Case Reports.2021; 79: 263. CrossRef
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International Journal of Surgery Case Reports.2021; 81: 105814. CrossRef
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Emily L. DeMaio, Richard C. Jarvis, Jessica A. Cohen, Courtney N. Gleason, Aristomenis K. Exadaktylos
Case Reports in Medicine.2021; 2021: 1. CrossRef
Intestinal Obstruction Secondary to Multiple Gastrointestinal phytobezoars, A Rare presentation
Abdullah G. Alsahwan, Ameen M. Almarhoon, Jihad AlSafwani, Hanan Alsahwan, Neamat Alturki
International Journal of Surgery Case Reports.2021; 83: 106004. CrossRef
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Woo Yong Lee
International Journal of Surgery Case Reports.2021; 85: 106177. CrossRef
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Dimitra G. Delimpaltadaki, Ioannis G. Gkionis, Mathaios E. Flamourakis, Andreas F. Strehle, Emmanouil N. Bachlitzanakis, Michail I. Giakoumakis, Manousos S. Christodoulakis, Konstantinos G. Spiridakis
Clinical Case Reports.2021;[Epub] CrossRef
A case series of intestinal obstruction secondary to shiitake mushroom intake during Chinese New Year
Gaik Huey Ng, Li Ying Teoh, Mei Sze Teh, Suniza Jamaris, Mee Hoong See
Journal of Surgical Case Reports.2020;[Epub] CrossRef
Clinical Case of a Patient with Small Bowel Obstruction and Multiple Diospirobesoaras of the Gastrointestinal Tract
A. S. Harutyunyan, V. D. Levitsky, V. V. Kiselev, P. A. Yartsev, A. V. Vodyasov, N. V. Shavrina
Russian Sklifosovsky Journal "Emergency Medical Care".2020; 9(2): 281. CrossRef
Adhesive small bowel obstruction – an update
Jia Wei Valerie Tong, Pravin Lingam, Vishalkumar Girishchandra Shelat
Acute Medicine & Surgery.2020;[Epub] CrossRef
Intestinal obstruction by a phytobezoar in a patient with a history of gastroplasty
Luiz de Abreu Junior, Gustavo Garcia Marques, Ingredy Tavares da Silva, Flávia Munhos Granja, Marcelo Zindel Salem
Radiologia Brasileira.2019; 52(2): 133. CrossRef
Parsnip phytobezoar causing small bowel obstruction
Denise I. Garcia, William Taylor Head, Aaron P. Lesher
Journal of Pediatric Surgery Case Reports.2019; 47: 101227. CrossRef
Clinics in diagnostic imaging (198)
YQA Soon, HM Low, CWT Huey, GKL Wansaicheong
Singapore Medical Journal.2019; 60(8): 397. CrossRef
When a cure becomes the pathology: mechanical bowel obstruction due to herbal pharmacobezoar. A case report with review of literature
Saurabh Gandhi, Eham Arora, Ajay Bhandarwar, Arun Patil, Amol Wagh, Shubham Gupta
Clinical Journal of Gastroenterology.2018; 11(5): 396. CrossRef
An unusual cause of small bowel obstruction due to an ingested mango seed: a case report
A. R. Fernando, R. Bulathsinghela, D. N. Samarasekera
BMC Research Notes.2017;[Epub] CrossRef
Small Bowel Obstruction Caused by Aloe vera Bezoars: A Case Report
In Taik Hong, Jae Myung Cha, Hye Jin Ki, Min Seob Kwak, Jin Young Yoon, Hyun Phil Shin, Jung Won Jeoun, Sung Il Choi
The Korean Journal of Gastroenterology.2017; 69(5): 312. CrossRef
Small bowel obstruction attributable to phytobezoar
Nasrin Razavianzadeh, Behzad Foroutan, Farhad Honarvar, Mohammad Forozeshfard
Oxford Medical Case Reports.2016; 2016(12): omw092. CrossRef
Intestinal obstruction due to phytobezoars: An update
Enis Dikicier
World Journal of Clinical Cases.2015; 3(8): 721. CrossRef
Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography
Pei-Yuan Wang
World Journal of Gastroenterology.2015; 21(33): 9774. CrossRef
Imaging differentiation of phytobezoar and small-bowel faeces: CT characteristics with quantitative analysis in patients with small- bowel obstruction
Ya-Cheng Chen, Chang-Hsien Liu, Hsian-He Hsu, Chih-Yung Yu, Hong-Hau Wang, Hsiu-Lung Fan, Ran-Chou Chen, Wei-Chou Chang
European Radiology.2015; 25(4): 922. CrossRef
Ultrasonographic differentiation of bezoar from feces in small bowel obstruction
Kyung Hoon Lee, Hyun Young Han, Hee Jin Kim, Hee Kyung Kim, Moon Soo Lee
Ultrasonography.2015; 34(3): 211. CrossRef
Bulbus psododivertikülde mide çıkış obstrüksiyonuna neden olan ve gastroskopi ile mideye alınması sonrası ileus gelişen bezoar: olgu sunumu ve literatürün gözden geçirilmesi (duodenal bezoar)
Ahmet UYANIKOĞLU, Haşim NAR, Ahmet ŞEKER, Ferzan AYDIN, Yusuf YÜCEL, Necati YENİCE
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Two cases of small bowel obstruction secondary to a swallowed potato
E Castren, A Hakeem, N S Mahmood, K Aryal
BMJ Case Reports.2015; : bcr2015213744. CrossRef
Phytobezoar: an unexpected cause of bowel obstruction in a pregnant woman with a history of Roux-en-Y gastric bypass
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K. Stratakis, A. Tsepelaki, E. Karallas, K. Koutsopoulos
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Acute small bowel obstruction in a girl, caused by a jejunal bezoar composed of textile fibers
S. Zwaveling, D.C. van der Zee
Journal of Pediatric Surgery Case Reports.2013; 1(8): 192. CrossRef
Complications of Bezoar in Children: What Is New?
Kam Lun Ellis Hon, Jean Cheng, Chung Mo Chow, Hon Ming Cheung, Kam Lau Cheung, Yuk Him Tam, Alexander K. C. Leung
Case Reports in Pediatrics.2013; 2013: 1. CrossRef

Clinical Characteristics and Surgical Safety in Patients with Acute Appendicitis Aged over 80: Kwon Sang Moon, Yong Hwan Jung, Eun Hun Lee, Yong Hee Hwang; J Korean Soc Coloproctol. 2012;28(2):94-99. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.94

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Abstract PDF

Purpose

The aim of this study was to evaluate the clinical characteristics and treatment outcomes, including surgical safety, in patients over 80 years of age who underwent an appendectomy.

Methods

This study involved 160 elderly patients who underwent an appendectomy for acute appendicitis: 28 patients over 80 years old and 132 patients between 65 and 79 years old.

Results

The rate of positive rebound tenderness was significantly higher in the over 80 group (P = 0.002). Comparisons of comorbidity, diagnostic tool and delay in surgical treatment between the two groups were not statistically different. American Society of Anesthesiologists score was significantly higher in the over 80 group than in the 65 to 79 group (2.4 ± 0.5 vs. 1.6 ± 0.5; P < 0.00005). Comparisons of operative times and use of drainage between the two groups were not statistically different. In the pathologic findings, periappendiceal abscess was more frequent in the over 80 group (P = 0.011). No significant differences existed between the two groups when comparing the results of gas out and the time to liquid diet, but the postoperative hospital stay was significantly longer in the over 80 group (P = 0.001). Among the postoperative complications, pulmonary complication was significantly higher in the over 80 group (P = 0.005). However, operative mortality was zero in each group.

Conclusion

In case of suspicious appendicitis in elderly patients, efforts should be made to use aggressive diagnostic intervention, do appropriate surgery and prevent pulmonary complications especially in patients over 80 years of age.

Citations

Citations to this article as recorded by

Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis
Rahantasoa Prudence, Rakotonaivo Judicael, Razafimandimby M., Rasoaherinomenjanahary Fanjandrainy, Samison Hervé
European Journal of Clinical and Biomedical Sciences.2024; 10(3): 38. CrossRef

Oncologic Outcomes and Risk Factors for Recurrence after Tumor-specific Mesorectal Excision of Rectal Cancer: 782 Cases: Sam Hee Kim, Ki Beom Bae, Jung Min Kim, Jae Ho Shin, Min Sung An, Tae Geun Ha, Sung Mok Ryu, Kwang Hee Kim, Tae Hyeon Kim, Chang Soo Choi, Jin Yong Shin, Minkyung Oh, Seung Hun Baek, Kwan Hee Hong; J Korean Soc Coloproctol. 2012;28(2):100-107. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.100

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11 Citations

Abstract PDF

Purpose

The aim of this study was to analyze the oncologic outcomes and the risk factors for recurrence after a tumor-specific mesorectal excision (TSME) of resectable rectal cancer in a single institution.

Methods

A total of 782 patients who underwent a TSME for resectable rectal cancer between February 1995 and December 2005 were enrolled retrospectively. Oncologic outcomes included 5-year cancer-specific survival and its affecting factors, as well as risk factors for local and systemic recurrence.

Results

The 5-year cancer-specific survival rate was 77.53% with a mean follow-up period of 61 ± 31 months. The overall local and systemic recurrence rates were 9.2% and 21.1%, respectively. The risk factors for local recurrence were pN stage (P = 0.015), positive distal resection margin, and positive circumferential resection margin (P < 0.001). The risk factors for systemic recurrence were pN stage (P < 0.001) and preoperative carcinoembryonic antigen level (P = 0.005). The prognostic factors for cancer-specific survival were pT stage (P < 0.001), pN stage (P < 0.001), positive distal resection margin (P = 0.005), and positive circumferential resection margin (P = 0.016).

Conclusion

The oncologic outcomes in our institution after a TSME for patients with resectable rectal cancer were similar to those reported in other recent studies, and we established the risk factors that could be crucial for the planning of treatment and follow-up.

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Short-term outcomes of robotic tumor-specific mesorectal resection of rectal cancer: surgical techniques in mesorectal division using rolling division of the mesorectum
Yushi Yamakawa, Nobuhiro Haruki, Nobuo Ochi, Reo Sato, Hiroyuki Asai, Tomohiro Kako, Takumi Kato, Mitsuki Nakazawa, Shuji Takiguchi
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Current Controversies in the Management of Locally Advanced Colon Cancer
Mishal Gillani, Seth Alan Rosen
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Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
Eun Jung Park, Seung Hyuk Baik
Precision and Future Medicine.2021; 5(4): 164. CrossRef
Locally Advanced Rectal Cancer Evaluation by Magnetic Resonance Imaging after Neoadjuvant Therapy on Decision Making: Cancer Center Experience and Literature Review
Alejandro Recio-Boiles, Hytham Hammad, Krisha Howell, Bobby T. Kalb, Valentine N. Nfonsam, Aaron J. Scott, Hani M. Babiker, Emad Elquza
Journal of Gastrointestinal Cancer.2020; 51(1): 254. CrossRef
The feasibility of laparoscopic TSME preserving the left colic artery and superior rectal artery for upper rectal cancer
Chi Zhang, Hao-tang Wei, Wenqing Hu, Yueming Sun, Qinyuan Zhang, Masanobu Abe, Zhuoran Du, Yingying Xu, Liang Zong, Xiang Hu
World Journal of Surgical Oncology.2020;[Epub] CrossRef
Recurrence in patients with stage I colorectal cancer
Patrick Ely Teloken, David Ransom, Ian Faragher, Ian Jones, Peter Gibbs, Cameron Platell
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L. Yu. Kazieva, E. G. Rybakov, S. I. Sevostianov
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Sabrina M. Ebinger, René Warschkow, Ignazio Tarantino, Bruno M. Schmied, Lukas Marti
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Determinants of recurrence after intended curative resection for colorectal cancer
Michael Wilhelmsen, Thomas Kring, Lars N. Jorgensen, Mogens Rørbæk Madsen, Per Jess, Orhan Bulut, Knud Thygesen Nielsen, Claus Lindbjerg Andersen, Hans Jørgen Nielsen
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Jong Seob Park, Jung Wook Huh, Yoon Ah Park, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun
Diseases of the Colon & Rectum.2014; 57(8): 933. CrossRef

Case Reports

Giant Peritoneal Loose Body in the Pelvic Cavity: Joung Teak Jang, Haeng Ji Kang, Ji Young Yoon, Seo Gue Yoon; J Korean Soc Coloproctol. 2012;28(2):108-110. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.108

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We report a case of a large peritoneal loose body diagnosed on computed tomography. The most common causes of a peritoneal loose body are thought to be torsion and separation of the appendices epiploicae. Peritoneal loose bodies are usually small, 0.5 to 2.5 cm in diameter. However, "giant" peritoneal loose bodies, larger than 4 cm in diameter, are an uncommon disease and present with various symptoms, and are difficult to diagnose preoperatively. Especially, abdominal large peritoneal loose bodies are frequently misdiagnosed as tumorous disease preoperatively. In our case, the loose body appeared as a round pelvic mass with central calcifications and a distinct fat plane separating it from adjacent organs. Preoperatively, we suspected a tumorous lesion from the wall of the upper rectum; however, at laparoscopy, a large peritoneal loose body was detected. An extraction of the giant peritoneal loose body was performed laparoscopically.

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A Case of a Fixed Giant Peritoneal Loose Body outside the Peritoneum and near the Rectovesical Excavation
Kotaro Nanno, Seiichi Shinji, Takeshi Yamada, Akihisa Matsuda, Ryo Ohta, Hiromichi Sonoda, Takuma Iwai, Kohki Takeda, Kazuhide Yonaga, Koji Ueda, Sho Kuriyama, Toshimitsu Miyasaka, Hiromasa Komori, Yoshinobu Shioda, Hiroshi Yoshida
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Abraham Ariaya, Musse Ahmed, Esubalew Taddese Mindaye
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Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature
Yang Wen, Min-jie Shang, Yan-qing Ma, Song-hua Fang, Yuan Chen
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A rare peritoneal egg: Case report with literature review
Nilu Malpani Dhoot, Shivaraj Afzalpurkar, Usha Goenka, Vinay Mahendra, Enam Murshed Khan, Arpita Sutradhar, Mahesh Goenka
Radiology Case Reports.2020; 15(10): 1895. CrossRef
Exploratory laparoscopy as first choice procedure for the diagnosis of giant peritoneal loose body: a case report
RuiBin Li, ZhiHeng Wan, HaoTian Li
Journal of International Medical Research.2020;[Epub] CrossRef
A giant peritoneal loose body impacted in the pelvic cavity, a rare and interesting finding during laparotomy
Ayad A. Mohammed
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Giant peritoneal loose body in a patient with end-stage renal disease
Nadejda Cojocari, Leonard David
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Keiso Matsubara, Yuji Takakura, Takashi Urushihara, Takashi Nishisaka, Toshiyuki Itamoto
International Journal of Surgery Case Reports.2017; 39: 188. CrossRef
Two giant peritoneal loose bodies were simultaneously found in one patient: A case report and review of the literature
Qingxing Huang, Aihong Cao, Jun Ma, Zhenhua Wang, Jianhong Dong
International Journal of Surgery Case Reports.2017; 36: 74. CrossRef
Symptomatic giant peritoneal loose body in the pelvic cavity: A case report
Andreas Elsner, Mikolaj Walensi, Maya Fuenfschilling, Robert Rosenberg, Robert Mechera
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Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature
Hong Zhang, Yun-zhi Ling, Ming-ming Cui, Zhi-xiu Xia, Yong Feng, Chun-sheng Chen
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Autoamputation of a pedunculated, subserosal uterine leiomyoma presenting as a giant peritoneal loose body
Izumi Suganuma, Taisuke Mori, Tokuei Takahara, Hiroko Torii, Masanori Fujishiro, Tomohisa Kihira, Yuko Urabe, Mamoru Urabe, Jo Kitawaki
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Takashi MIYAKE, Masahiko SUZUKI, Yutaro ASABA, Masahito UJI, Tomohito SATO, Yasunobu MIZUKAMI
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2014; 75(2): 569. CrossRef
A Giant Peritoneal Loose Body
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Korean Journal of Pathology.2013; 47(4): 378. CrossRef

A Case of Primary Ovarian Lymphoma Presenting as a Rectal Submucosal Tumor: Il Soon Jung, Seul Young Kim, Kyu Seup Kim, Kwang Hun Ko, Jae Kyu Sung, Hyun Young Jeong, Ji Yeoun Kim, Hee Seok Moon; J Korean Soc Coloproctol. 2012;28(2):111-115. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.111

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Abstract PDF

Primary ovarian lymphoma is a rare malignancy whose symptoms or signs are usually nonspecific. In this article, we report a very rare case initially presenting as a rectal submucosal-tumor-like lesion with a defecation disturbance caused by primary ovarian lymphoma with bilateral involvement. A 42-year-old woman visited chungnam national university hospital complaining of persistent defecation disturbance for 6 months. Colonoscopy demonstrated compression of the rectum by an extrinsic mass mimicking a rectal submucosal tumor. Magnetic resonance imaging detected bilateral ovarian tumors, 9.3 cm and 5.4 cm each in diameter, compressing the rectum without enlarged lymph nodes. The diagnosis was established following a bilateral adnexectomy and histological studies of the excised tissue. The tumor was classified as a diffuse large B-cell lymphoma. The patient was prescribed six cycles of standard CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) regimen and is presently on treatment.

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F. Castro-Poças, T. Araújo, A. Duarte, C. Lopes, M. Mascarenhas-Saraiva
International Journal of Colorectal Disease.2016; 31(2): 479. CrossRef

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