Radiation stricture of rectosigmoid treated with self-expanding metallic stent.
Radiation stricture of the rectosigmoid with obstruction is a difficult clinical problem, and surgery is associated with high mortality and morbidity. We report a case involving radiation stricture of the rectosigmoid in an 80-year-old woman who presented with acute colonic obstruction. A self-expanding metallic stent was successfully inserted, and the obstruction was relieved. The stent remained patent for 4 months without any complications until the patient died of sepsis resulting from pneumonia and bedsores. The literature on the use of a metallic stent to manage a benign colon condition was reviewed.
Law
W L
WL
Department of Surgery, Queen Mary Hospital, University of Hong Kong Medical Centre, Porkulam Road, Hong Kong, China. lawwl@hkucc.hku.hk
Choi
H K
HK
Chu
K W
KW
Tung
H M
HM
D000368:Aged; D000369:Aged, 80 and over; D000497:Alloys / Q000627:therapeutic use; D003251:Constriction, Pathologic / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery*; D012002:Rectal Diseases / Q000209:etiology / Q000601:surgery*; D012810:Sigmoid Diseases / Q000209:etiology / Q000601:surgery*; D015607:Stents
D000497:Alloys