Conzo G, Mauriello C, Gambardella C, Cavallo F, Tartaglia E, Napolitano S, Santini L. Isolated repeated anastomotic recurrence after sigmoidectomy. World J Gastroenterol 2014; 20(43): 16343-16348 [PMID: 25473193 DOI: 10.3748/wjg.v20.i43.16343]
Corresponding Author of This Article
Giovanni Conzo, MD, Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General Surgery, Second University of Naples, Via Sergio Pansini 5, 80131 Naples, Italy. giovanni.conzo@unina2.it
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
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World J Gastroenterol. Nov 21, 2014; 20(43): 16343-16348 Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16343
Isolated repeated anastomotic recurrence after sigmoidectomy
Giovanni Conzo, Claudio Mauriello, Claudio Gambardella, Fabio Cavallo, Ernesto Tartaglia, Salvatore Napolitano, Luigi Santini
Giovanni Conzo, Claudio Mauriello, Claudio Gambardella, Fabio Cavallo, Ernesto Tartaglia, Salvatore Napolitano, Luigi Santini, Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General Surgery, Second University of Naples, 80131 Naples, Italy
Author contributions: Conzo G and Mauriello C participated substantially in the conception, design, and execution of the study and in the analysis and interpretation of data, also participated substantially in the drafting and editing of the manuscript; Gambardella C participated substantially in the drafting and editing of the manuscript; Cavallo F and Tartaglia E participated substantially in the conception, design, and execution of the study and in the analysis and interpretation of data; Napolitano S and Santini L Participated substantially in the conception, design, and execution of the study and in the analysis and interpretation of data; also participated substantially in the drafting and editing of the manuscript.
Correspondence to: Giovanni Conzo, MD, Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General Surgery, Second University of Naples, Via Sergio Pansini 5, 80131 Naples, Italy. giovanni.conzo@unina2.it
Telephone: +39-81-5666648 Fax: +39-81-5666648
Received: October 9, 2013 Revised: February 9, 2014 Accepted: June 20, 2014 Published online: November 21, 2014
Abstract
Repeated anastomotic recurrence (AR) of colonic cancer is uncommon. We report a case of a double-isolated AR after sigmoidectomy. In 2003, a 60-year-old woman underwent stapled sigmoid resection for a moderately differentiated adenocarcinoma. Further rectal bleeding occurred after six months, and colonoscopy detected an AR. Thus, an additional stapled colorectal anastomosis was performed. Ten months later, a colonoscopy detected a circumferential AR that prompted the completion of a second colorectal resection, with a double-stapled colorectal anastomosis. Twenty-four hours after surgery, a massive pulmonary embolism occurred, and the patient died within a few hours. At present, only six cases of repeated isolated AR have been described. Repeated segmental colorectal resections are generally associated with a favourable prognosis, with a median survival rate of 45 mo (range, 13-132 mo). Repeated isolated ARs are rare, and segmental colorectal resections are generally associated with long-term disease-free survival.
Core tip: We report a case of a double isolated anastomotic recurrence (AR) after sigmoidectomy. At present, only six cases of repeated isolated AR have been described. Repeated isolated ARs are rare, and segmental colorectal resections are generally associated with long-term disease-free survival.
