Lower gastrointestinal bleeding from ileostomy takedown site 2 years after operation.
This case involves a 31-year-old man who presented with lower gastrointestinal bleeding from a perianastomotic ulcer 2 years after surgery. This report reviews the literature and suggests that perianastomotic ulcers may be underrecognized as delayed complications of side-to-side small bowel anastomosis. This report also demonstrates the value of push enteroscopy via the rectum in making the diagnosis.
Ponsky
Todd A
TA
Department of Surgery, George Washington University Hospital, Washington, DC 20008, USA.
Brzozowski
Leonard
L
Sivak
Michael
M
Staniunas
Raymond
R
D000328:Adult; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications