Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8406-8416
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8406
Metal stent combined with ileus drainage tube for the treatment of delayed rectal perforation: A case report
Si-Le Cheng, Lu Xie, Hao-Wei Wu, Xiao-Feng Zhang, Li-Lan Lou, Hong-Zhang Shen
Si-Le Cheng, Lu Xie, Xiao-Feng Zhang, Li-Lan Lou, Hong-Zhang Shen, Department of Gastroenterology, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
Si-Le Cheng, Hao-Wei Wu, Li-Lan Lou, Department of Gastroenterology, Zhejiang Chinese Medical University, Hangzhou 310000, Zhejiang Province, China
Author contributions: Cheng SL and Xie L assisted in the endoscopic procedure, drafted and revised the manuscript, and approved the final manuscript. They contributed equally to this work; Shen HZ and Wu HW drafted the manuscript and approved the final manuscript; Zhang XF conceived the study, assessed the severity of the patient's condition, performed most of the endoscopic procedures, revised and reviewed the manuscript, and approved the final manuscript; Lou LL conceived the study, assisted with the endoscopic therapy procedures and postoperative care, drafted and revised the manuscript, and approved the final manuscript; all the authors contributed to the article and approved the submitted version.
Supported by the Hangzhou Major Science and Technology Projects, No. 202004A14; the Hangzhou Medical and Health Science and Technology Plan, No. OO20190610 and No. A20200174; the Zhejiang Medical and Health Science and Technology Plan, No. WKJ-ZJ-2136 and No. 2019RC068; and the Natural Science Foundation of Zhejiang Province, No. LGF21H310004.
Informed consent statement: Written informed consent for the treatment plan was obtained from the patient. Written informed consent for the publication of this case report and accompanying images was obtained from the patient. Copies of the written consent forms are available for review from the editors of this journal.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See https://creativecommons.org/Licenses/by-nc/4.0/.
Corresponding author: Li-Lan Lou, MNurs, Adjunct Associate Professor, Chief Nurse, Department of Gastroenterology, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, No. 4 Xueshi Road, Shangcheng District, Hangzhou 310000, Zhejiang Province, China. lll88229271@163.com
Received: April 12, 2022
Peer-review started: April 12, 2022
First decision: May 9, 2022
Revised: May 18, 2022
Accepted: July 6, 2022
Article in press: July 6, 2022
Published online: August 16, 2022
Processing time: 111 Days and 4.5 Hours
Core Tip

Core Tip: In this case, the diagnosis of perforation was delayed, the nearby rectal mucosa and internal anal sphincter were extensively damaged. Rectoscopic or laparoscopic repair was difficult. The alternative approach is proximal enterostomy and subsequent stoma reversal. but the patient refused. The perforation was in the lower rectum, the bowel was well prepared. The treatment could be successful as long as the leakage of intestinal contents into the abdominal cavity were prevented, the wound was protected from contamination. The self-expanding covered mental stent covers the perforation, promotes repair and prevents the stenosis, and the transanal ileus drainage tube drains the intestinal contents. The combination achieved the goals.