Ann Coloproctol.  2017 Aug;33(4):146-149. 10.3393/ac.2017.33.4.146.

Colorectal Perforation After Anorectal Manometry for Low Anterior Resection Syndrome

• Lee KH
• Kim JY
• Sul YH

• KMID: 2391457
• DOI: http://doi.org/10.3393/ac.2017.33.4.146

Abstract

We experienced 3 cases of manometry-induced colon perforation. A 75-year-old man (case 1) underwent anorectal manometry (ARM) 3 years after radiotherapy for prostate cancer and a laparoscopic intersphincteric resection for rectal cancer. A 70-year-old man (case 2) underwent ARM 3 months after conventional neoadjuvant chemoradiotherapy and a laparoscopic low anterior resection for rectal cancer. A 78-year-old man (case 3) underwent ARM 2 months after a laparoscopic intersphincteric resection for rectal cancer. In all cases, a colon perforation with fecal peritonitis occurred. All were treated successfully using prompt and active operations and were discharged without any complications. ARM with a balloon, as a measure of rectal compliance, should be performed 2 months or longer after surgery. If a perforation occurs, prompt and active surgical intervention is necessary due to the high possibility of extensive fecal peritonitis.

Keyword

Rectal cancer; Low anterior resection syndrome; Anorectal manometry; Colon perforation

MeSH Terms

Aged
Arm
Chemoradiotherapy
Colon
Compliance
Humans
Manometry*
Peritonitis
Prostatic Neoplasms
Radiotherapy
Rectal Neoplasms