[A case of laparoscopic surgery for a rectal carcinoid after ALTA therapy for an internal hemorrhoid].
We report a case of laparoscopic surgery for a rectal carcinoid after aluminum potassium and tannic acid (ALTA) therapy for an internal hemorrhoid. A 66-year-old man was admitted to our hospital because of bleeding during defecation. He was diagnosed via anoscopy with Goligher grade II internal hemorrhoids. Examination via colonoscopy revealed 2 yellowish submucosal tumors in the lower rectum that were 5mm and 10mm in diameter. A rectal carcinoid tumor was diagnosed based on histopathology. Abdominal computed tomography demonstrated no metastases to the liver or lymph nodes. First, we performed ALTA therapy for the internal hemorrhoids. Two weeks later, we performed laparoscopic-assisted low anterior resection (D2) for the rectal carcinoid. The patient was discharged without complications and has not experienced recurrence during the 2 years of follow-up care.
Dept. of Surgery, Aomatsu Memorial Hospital.
Naoki
N
Aomatsu
Masanori
M
Nakamura
Tsuyoshi
T
Hasegawa
Shigetomi
S
Nakao
Yasutake
Y
Uchima
Keiho
K
Aomatsu
D000368:Aged; D000534:Alum Compounds / Q000627:therapeutic use*; D002276:Carcinoid Tumor / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D003131:Combined Modality Therapy; D006484:Hemorrhoids / Q000150:complications / Q000601:surgery*; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D013634:Tannins / Q000627:therapeutic use*; D016896:Treatment Outcome
D000534:Alum Compounds; D013634:Tannins; C041524:aluminum sulfate