Ischemic stricture of the rectosigmoid colon caused by division of the superior rectal artery below Sudeck's point during sigmoidectomy: Report of a case
Ischemic stricture of the rectosigmoid colon caused by division of the superior rectal artery below Sudeck's point during sigmoidectomy: Report of a case
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DOI：
10.1007/bf00941656
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发表时间：
1997-01-01
期刊：
影响因子：
--
通讯作者：
Hatakeyama, K
中科院分区：
文献类型：
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作者：
Yamazaki, T;Shirai, Y;Hatakeyama, K
尽管 Sudeck 在 1907 年发表了关于拉穿手术后结肠坏死风险的警告报告，但大多数结直肠外科医生在直肠乙状结肠区域手术时并没有密切关注 Sudeck 的临界点。我们在此报告一例患者，在进行根治性乙状结肠切除术并在紧邻苏德克点远端分离直肠上动脉后，吻合口远端的直肠乙状结肠出现缺血性狭窄，长度为 6 厘米。这是首次记录患者因乙状结肠切除术而出现缺血性狭窄。苏德克点远端的动脉分裂很可能损害直肠乙状结肠的血液供应，随后导致闭塞性缺血性结肠炎。因此，存在这样的风险：Sudeck点远端的直肠上动脉的分裂可能导致乙状结肠切除术后剩余的直肠乙状结肠区域出现结肠缺血。
Despite Sudeck's cautionary report regarding the risk of colon necrosis following a pull-through procedure, published in 1907, most colorectal surgeons do not pay close attention to Sudeck's critical point when operating in the rectosigmoid region. We report herein the case of a patient who developed an ischemic stricture, 6 cm in length, in the rectosigmoid colon distal to the anastomosis following a radical sigmoidectomy with division of the superior rectal artery immediately distal to Sudeck's point. This is the first documentation of a patient developing an ischemic stricture attributable to sigmoidectomy. Division of the artery distal to Sudeck's point most probably impaired the blood supply to the rectosigmoid colon, which subsequently resulted in occlusive ischemic colitis. Thus, there is a risk that division of the superior rectal artery distal to Sudeck's point may lead to colonic ischemia in the remaining rectosigmoid region following sigmoidectomy.