Rectal strictures following abdominal aortic aneurysm surgery.
Rectal stricture formation is a rare complication of aortic aneurysm repair. Two case are described here. A combination of hypotension, a compromised internal iliac circulation and poor collateral supply following inferior mesenteric artery ligation can result in acute ischaemic proctitis--an infrequently described clinical entity. Ulceration and necrosis are the sequelae of prolonged ischaemia and fibrous stricture formation may result. One patient responded to dilatation and posterior mid-rectal myotomy; the other failed to respond to conservative measures and eventually had an end colostomy fashioned following intractable symptoms.
Lane
T M
TM
Department of Surgery, Kent and Sussex Hospital, Tunbridge Wells, UK.
Bentley
P G
PG
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011349:Proctitis / Q000209:etiology; D012002:Rectal Diseases / Q000209:etiology* / Q000628:therapy