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Case Reports
Benign bowel disease
Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reports
In-Kyeong Kim, Seung-jin Kwag, Han-Gil Kim, Young-Tae Ju, Seung-Jun Lee, Tae-Jin Park, Sang-Ho Jeong, Eun-Jung Jung, Jin-Kwon Lee
Ann Coloproctol. 2023;39(6):521-525.   Published online December 7, 2021
DOI: https://doi.org/10.3393/ac.2021.00647.0092
  • 4,911 View
  • 154 Download
AbstractAbstract PDF
We report considerations related with surgery through 2 cases of acute apendicitis with COVID-19 infection. In November and December 2020, two patients infected with COVID-19 developed acute apendicitis and underwent emergency surgery. In case 1, an 84-year-old woman was asymptomatic and diagnosed with acute apendicitis on the 20th day of infection. She was discharged after surgery without complication. In contrast, case 2 was a 69-year-old male patient with pneumonia treated with antibiotics, steroids and remdesivir. After surgery, he was hospitalized for a long duration due to persistent pneumonia and wound complications. We should perform appendectomy in well-established negative pressure operating rooms, personal protective equipment, and protocols. Since the physical examination and blood tests were limited, image examination like computed tomography scan should be considered if acute apendicitis is suspected. If the patient has pneumonia before surgery, it can get worse after surgery, and complications such as wound infections can occur.
Colorectal cancer
Experience of surgical treatment in a granular cell tumor in the ascending colon: a case report
In-Kyeong Kim, Young-Tae Ju, Han-Gil Kim, Jin-Kwon Lee, Dong-Chul Kim, Jae-Myung Kim, Jin Kyu Cho, Ji-Ho Park, Ju-Yeon Kim, Chi-Young Jeong, Soon-Chan Hong, Seung-Jin Kwag
Ann Coloproctol. 2023;39(3):275-279.   Published online July 6, 2021
DOI: https://doi.org/10.3393/ac.2020.00836.0119
  • 8,884 View
  • 136 Download
  • 1 Web of Science
AbstractAbstract PDF
We report a case about successful surgical treatment of a granular cell tumor in the ascending colon. A 36-year-old man underwent screening colonoscopy. An endoscopic examination revealed a 10-mm yellowish and hemispheric mass in the ascending colon, and lower endoscopic ultrasonography revealed a hypoechoic-to-isoechoic mass invaded the submucosal layer. The mass was suspected to be a colonic carcinoid tumor. Based on the preoperative evaluation, endoscopic complete resection was considered difficult. Therefore, the lesion was removed via laparoscopic right hemicolectomy. Histological examination revealed that the tumor consisted of nests of polygonal cells with abundant granular eosinophilic cytoplasm. Immunohistochemical staining revealed diffuse positivity for S100 and CD68. Therefore, the tumor was diagnosed as a granular cell tumor. We suggest that surgical resection should be considered if it is located in the thin-walled ascending colon prone to perforation, difficult to rule out malignant tumor due to submucosal invasion, or to remove endoscopically.
Benign GI diease,Benign diesease & IBD
Ileocolonic intussusception caused by epithelioid leiomyosarcoma of the ileum: a report of case and review of the literature
Han-Gil Kim, Jung Wook Yang, Soon-Chan Hong, Young-Tae Ju, Chi-Young Jeong, Ju-Yeon Kim, Ji-Ho Park, Jin-Kwon Lee, Jae-Myung Kim, Jin-Kyu Cho, Seung-Jin Kwag
Ann Coloproctol. 2022;38(2):176-180.   Published online May 28, 2021
DOI: https://doi.org/10.3393/ac.2020.12.08
  • 3,901 View
  • 178 Download
  • 4 Web of Science
  • 4 Citations
AbstractAbstract PDF
Small intestinal malignant tumor accounts for about 3% of all malignant tumors in the gastrointestinal tract, among which 13% are leiomyosarcoma (LMS). In addition, epithelioid LMS is of very rare occurrence. As small intestinal malignant tumors are initially asymptomatic and nonspecific, diagnosis is often delayed, and this can lead to large tumor at the time of detection and lead to intussusception. We observed ileocolonic intussusception in an 80-year-old male patient who was admitted to the hospital with a complaint of abdominal pain and palpable mass on right lower quadrant. The laparoscopic ileocecectomy was performed by the emergency operation because of obstruction. The pathologic examination revealed that the epithelioid LMS developed in the terminal ileum was the leading point of intussusception. To the best of our knowledge, laparoscopic surgery for ileocolonic intussusception with epithelioid LMS has not yet been reported.

Citations

Citations to this article as recorded by  
  • Squamous cell carcinoma of the small intestine: a case report and review of literature
    Dandan Wang, Zhe-Xuan Li, Lanlin Hu, Ying Wang, Senlin Xu, Chuan Xu
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Small bowel leiomyosarcoma: a case report and review of the literature
    Rebaz O Mohammed, Rawa M Ali, Deari A Ismaeil, Rebaz M Ali, Hemn H Kaka Ali, Karokh F Hamahussein, Omar H G Hawramy, Hiwa O Abdullah, Marwan A Ghafoor, Fahmi H Kakamad
    Journal of Surgical Case Reports.2025;[Epub]     CrossRef
  • Ileum intussusception secondary to submucosal liposarcoma in adult:A case report
    Hong-wei Yu, Jin-gang Yan, Lei Zheng, Jun-hua Huang
    Heliyon.2024; 10(1): e23432.     CrossRef
  • Current landscape of primary small bowel leiomyosarcoma: cases report and a decade of insights
    Junjie Zhou, Houyun Xu, Jibo Hu, Qiang Hong, Xiping Yu, Wei Liu, Jiaxin Zhao, Hongjie Hu
    Frontiers in Oncology.2024;[Epub]     CrossRef
Toxocara canis Mimicking a Metastatic Omental Mass from Sigmoid Colon Cancer: A Case Report
Han-Gil Kim, Jung-Wook Yang, Soon-Chan Hong, Young-Joon Lee, Young-Tae Ju, Chi-Young Jeong, Jin-Kwon Lee, Seung-Jin Kwag
Ann Coloproctol. 2018;34(3):160-163.   Published online June 30, 2018
DOI: https://doi.org/10.3393/ac.2017.12.20
  • 5,668 View
  • 83 Download
  • 3 Web of Science
  • 4 Citations
AbstractAbstract PDF
Toxocara canis is an important roundworm of canids and a fearsome animal parasite of humans. Human infections can lead to syndromes called visceral larva migrans (VLM), ocular larva migrans, neurotoxocariasis, and covert toxocariasis. VLM is most commonly diagnosed in children younger than 8 years of age, but adult cases are relatively frequent among those infected by ingesting the raw tissue of paratenic hosts in East Asia. This research reports the case of a 59-year-old man with sigmoid colon cancer, who visited our institution for surgery. An intraperitoneal mass was found on preoperative computed tomography, and it was thought to be a metastatic mass from sigmoid colon cancer. A postoperative histologic examination and serum test showed eosinophilic granuloma due to toxocariasis. Diagnosis of VLM is often difficult and highly suspicious in adults. Researchers suggest, although rarely, that VLM be included in the differential diagnosis as a cause of intraperitoneal tumors.

Citations

Citations to this article as recorded by  
  • Current status of intestinal parasite infections in fecal samples of dogs in Korea
    You-Jeong Lee, Beoul Kim, Dongmi Kwak, Min-Goo Seo
    Parasites, Hosts and Diseases.2024; 62(4): 438.     CrossRef
  • Human Toxocariasis in individuals with blood disorders and cancer patients: the first seroepidemiological study in Iran
    Vahid Raissi, Nasrin Sohrabi, Fatemeh Bayat, Soudabeh Etemadi, Omid Raiesi, Pantea Jalali, Maryam Karami, Ali Abdollahi, Ziba Hoseiny, Mahdi Shayanfard, Gita Alizadeh, Mahmoud E. Gadalla, Asmaa Ibrahim
    Journal of Parasitic Diseases.2021; 45(3): 643.     CrossRef
  • Pulmonary Exacerbation of Undiagnosed Toxocariasis in Intensively-Treated High-Risk Neuroblastoma Patients
    Szymon Janczar, Monika Bulas, Justyna Walenciak, Dobromila Baranska, Marek Ussowicz, Wojciech Młynarski, Beata Zalewska-Szewczyk
    Children.2020; 7(10): 169.     CrossRef
  • Toxocariasis Suspected of Having Infiltrated Directly from the Liver to the Lung through the Diaphragm
    Masaki Kakimoto, Masayuki Murata, Fujiko Mitsumoto-Kaseida, Eiichi Ogawa, Yuji Matsumoto, Akira Kusaga, Kazuhiro Toyoda, Takeo Hayashi, Kazuya Ura, Keishi Kanno, Norihiro Furusyo, Susumu Tazuma
    Internal Medicine.2019; 58(18): 2737.     CrossRef
Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma: A Report of Two Cases and a Review of the Literature
Seung-Jin Kwag, Sang-Kyung Choi, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Tae-Jin Park, Young-Tae Ju
Ann Coloproctol. 2014;30(3):147-150.   Published online June 23, 2014
DOI: https://doi.org/10.3393/ac.2014.30.3.147
  • 6,490 View
  • 62 Download
  • 6 Web of Science
  • 5 Citations
AbstractAbstract PDF

A colon lipoma is a remarkably rare tumor. In most cases, the tumors are asymptomatic and small in size, need to be differentiated from malignant tumors, and do not need any special treatment. Selection of the right surgical strategy depends on the status of bowel, as well as the size and the location of tumor. We encountered two patients with giant submucosal lipomas that had induced intussusceptions: one with a lipoma in the transverse colon and the other with a lipoma in the ascending colon. The diagnoses were made by using histological examinations. We report the clinical features, diagnoses, and treatments of, as well as our experience with, these two uncommon cases, and we present a review of the literature on this subject.

Citations

Citations to this article as recorded by  
  • Pedunculated colonic lipoma causing adult colo-colic intussusception: A case report and literature review
    Dhouha Bacha, Neirouz Kammoun, Ines Mallek, Lassad Gharbi, Ahlem Lahmar, Sana Ben Slama
    International Journal of Surgery Case Reports.2024; 123: 110242.     CrossRef
  • Sizzling Fat—Curative Endoscopic Resection of a Giant Lipoma Causing Colo-Colic Intussusception
    Chiara Eberspacher, Stefano Arcieri, Augusto Lauro, Rossella Palma, Enrico Coletta, Francesco Leone Arcieri, Domenico Mascagni, Stefano Pontone
    Digestive Diseases and Sciences.2023; 68(11): 4123.     CrossRef
  • Colon lipoma causing intussusception in adults: literature review
    Antonio LO CASTO, Marta FARINELLA, Crispino R. TOSTO, Emanuela FARINELLA, Alessandro MASSARA, Vito RODOLICO
    Journal of Radiological Review.2022;[Epub]     CrossRef
  • A case of colonic intussusception and obstruction secondary to giant colonic lipoma
    Yi Ying Law, Rhea Patel, Marianne Cusick, Jeffrey L Van Eps
    Journal of Surgical Case Reports.2020;[Epub]     CrossRef
  • Curative endoscopic treatment of intussusception due to a giant colonic lipoma using a wedged balloon and ligation with detachable snares
    Masahiro Okada, Hirotsugu Sakamoto, Yoshikazu Hayashi, Tomonori Yano, Satoshi Shinozaki, Keijiro Sunada, Alan Kawarai Lefor, Hironori Yamamoto
    Clinical Journal of Gastroenterology.2019; 12(4): 320.     CrossRef
Original Article
Niti CAR 27 Versus a Conventional End-to-End Anastomosis Stapler in a Laparoscopic Anterior Resection for Sigmoid Colon Cancer
Seung-Jin Kwag, Jun-Gi Kim, Won-Kyung Kang, Jin-Kwon Lee, Seong-Taek Oh
Ann Coloproctol. 2014;30(2):77-82.   Published online April 25, 2014
DOI: https://doi.org/10.3393/ac.2014.30.2.77
  • 4,438 View
  • 32 Download
  • 6 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose

The Niti CAR 27 (ColonRing) uses compression to create an anastomosis. This study aimed to investigate the safety and the effectiveness of the anastomosis created with the Niti CAR 27 in a laparoscopic anterior resection for sigmoid colon cancer.

Methods

In a single-center study, 157 consecutive patients who received an operation between March 2010 and December 2011 were retrospectively assessed. The Niti CAR 27 (CAR group, 63 patients) colorectal anastomoses were compared with the conventional double-stapled (CDS group, 94 patients) colorectal anastomoses. Intraoperative, immediate postoperative and 6-month follow-up data were recorded.

Results

There were no statistically significant differences between the two groups in terms of age, gender, tumor location and other clinical characteristics. One patient (1.6%) in the CAR group and 2 patients (2.1%) in the CDS group experienced complications of anastomotic leakage (P = 0.647). These three patients underwent a diverting loop ileostomy. There were 2 cases (2.1%) of bleeding at the anastomosis site in the CDS group. All patients underwent a follow-up colonoscopy (median, 6 months). One patient in the CAR group experienced anastomotic stricture (1.6% vs. 0%; P = 0.401). This complication was solved by using balloon dilatation.

Conclusion

Anastomosis using the Niti CAR 27 device in a laparoscopic anterior resection for sigmoid colon cancer is safe and feasible. Its use is equivalent to that of the conventional double-stapler.

Citations

Citations to this article as recorded by  
  • New alternative colorectal anastomotic devices: A systematic review and meta-analysis
    T. Shakir, T. Pampiglione, M. Hassouna, P. Rogers, J. Dourado, S. Emile, R. Kokelaar, S. Wexner
    The American Journal of Surgery.2025; 240: 116128.     CrossRef
  • Systematic Review and Meta-Analysis on Colorectal Anastomotic Techniques
    Jana Steger, Alissa Jell, Stefanie Ficht, Daniel Ostler, Markus Eblenkamp, Petra Mela, Dirk Wilhelm
    Therapeutics and Clinical Risk Management.2022; Volume 18: 523.     CrossRef
  • A systematic analysis of controlled clinical trials using the NiTi CAR™ compression ring in colorectal anastomoses
    R. Tabola, R. Cirocchi, A. Fingerhut, A. Arezzo, J. Randolph, V. Grassi, G. A. Binda, V. D’Andrea, I. Abraha, G. Popivanov, S. Di Saverio, A. Zbar
    Techniques in Coloproctology.2017; 21(3): 177.     CrossRef
  • Can a nickel–titanium memory-shape device serve as a substitute for the stapler in gastrointestinal anastomosis? A systematic review and meta-analysis
    Ning-Ning Li, Wen-Tao Zhao, Xiao-Ting Wu
    Journal of Surgical Research.2016; 201(1): 82.     CrossRef
  • Efficacy and safety of a NiTi CAR 27 compression ring for end-to-end anastomosis compared with conventional staplers: A real-world analysis in Chinese colorectal cancer patients
    Zhenhai Lu, Jianhong Peng, Cong Li, Fulong Wang, Wu Jiang, Wenhua Fan, Junzhong Lin, Xiaojun Wu, Desen Wan, Zhizhong Pan
    Clinics.2016; 71(5): 264.     CrossRef
  • The New Stapler Device Is Good, But Needs More Evaluation
    Young Wan Kim, Ik Yong Kim
    Annals of Coloproctology.2014; 30(2): 59.     CrossRef
Case Report
A Stercoral Perforation of the Rectum
Seung-Jin Kwag, Sang-Kyung Choi, Ji-Ho Park, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Young-Tae Ju
Ann Coloproctol. 2013;29(2):77-79.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.77
  • 5,088 View
  • 37 Download
  • 12 Citations
AbstractAbstract PDF

A stercoral perforation of the rectum due to a fecaloma is a rare disease with a high mortality rate. Although multiple case reports of colonic perforations have been published, the data regarding rectal perforations are limited. This case report will highlight one such case of a stercoral rectal perforation that was successfully treated with a laparoscopic operation.

Citations

Citations to this article as recorded by  
  • Stercoral Colitis: Review of Imaging Features and Complications
    Nikitha Karkala, Bertin Mathai, John J. Hines, Sarah Byun, Douglas S. Katz
    RadioGraphics.2025;[Epub]     CrossRef
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    Tom Vandaele, Lisa Dekoninck, Pauline Vanhove, Bart Devos, Mathieu Vandeputte, Marc Philippe, Johan Vlasselaers
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
  • Sepsis de origen abdominal secundaria a perforación estercoral recto-sigmoidea: a propósito de un caso
    Juan Daniel Serrano-Lizarazo, María Camila Ayala-Gutiérrez, Diana Clemencia Quintero-Gamboa, Andrea Juliana Pinto-Arias, Juan Paulo Serrano-Pastrana
    Revista Médicas UIS.2024;[Epub]     CrossRef
  • The Extremes of Constipation: A Case of Stercoral Perforation From Fecal Impaction in a Teenager
    Felicia Lee, Jasmin Cao, Evan Lin, Maho Kurashima, Raymond I Okeke, Christian Saliba, Shin Miyata
    Cureus.2023;[Epub]     CrossRef
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    Seunghwan Lee, Chang Woo Kim
    BMC Surgery.2021;[Epub]     CrossRef
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    Sherwin Fernando, Diwakar R Sarma
    British Journal of Hospital Medicine.2021; 82(4): 1.     CrossRef
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    Anupam K Gupta, Oscar A Vazquez, Miguel Lopez-Viego
    Cureus.2020;[Epub]     CrossRef
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    Oshan Basnayake, Chiran Rathnaweera, Umesh Jayarajah, Gishanthan Shanthamoorthy, Heshan Dayantha Siriwardena, Asela Jayathilaka, Paola De Nardi
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    World Journal of Colorectal Surgery.2019; 8(4): 114.     CrossRef
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    Andrew Davies, Katherine Webber
    Journal of Pain and Symptom Management.2015; 50(2): 260.     CrossRef
  • Stercoral Colitis
    Maxim Saksonov, Gil N. Bachar, Sara Morgenstern, Abdel-Rauf Zeina, Margarita Vasserman, Orith Protnoy, Ofer Benjaminov
    Journal of Computer Assisted Tomography.2014; 38(5): 721.     CrossRef
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