Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009 |
Resumo: | Chronic radiation proctopathy is a frequent complication after both pelvic external radiation therapy and brachytherapy and most commonly presents as rectal bleeding. Deep rectal ulcers and fistulae are much rarer and more clinically challenging consequences. We present the case of a 72-year-old male with a history of prostate adenocarcinoma treated with brachytherapy, who was referred to our institution due to a deep painful rectal ulcer refractory to medical treatment. The ulcer presented shortly after a haemorrhoid elastic band ligation and progressed to rectourethral fistulisation despite both faecal and urinary diversion. Our case demonstrates the importance of favouring a conservative approach when dealing with an irradiated rectum. |
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Pelvic Catastrophe after Elastic Band Ligation in an Irradiated RectumBrachytherapyRadiation proctitisRectal ulcerRectal fistulaeChronic radiation proctopathy is a frequent complication after both pelvic external radiation therapy and brachytherapy and most commonly presents as rectal bleeding. Deep rectal ulcers and fistulae are much rarer and more clinically challenging consequences. We present the case of a 72-year-old male with a history of prostate adenocarcinoma treated with brachytherapy, who was referred to our institution due to a deep painful rectal ulcer refractory to medical treatment. The ulcer presented shortly after a haemorrhoid elastic band ligation and progressed to rectourethral fistulisation despite both faecal and urinary diversion. Our case demonstrates the importance of favouring a conservative approach when dealing with an irradiated rectum.Sociedade Portuguesa de Gastrenterologia2018-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009GE-Portuguese Journal of Gastroenterology v.25 n.1 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009Pita,InêsBastos,PedroDinis-Ribeiro,Márioinfo:eu-repo/semantics/openAccess2024-02-06T17:33:49Zoai:scielo:S2341-45452018000100009Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:02.666596Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
title |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
spellingShingle |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum Pita,Inês Brachytherapy Radiation proctitis Rectal ulcer Rectal fistulae |
title_short |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
title_full |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
title_fullStr |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
title_full_unstemmed |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
title_sort |
Pelvic Catastrophe after Elastic Band Ligation in an Irradiated Rectum |
author |
Pita,Inês |
author_facet |
Pita,Inês Bastos,Pedro Dinis-Ribeiro,Mário |
author_role |
author |
author2 |
Bastos,Pedro Dinis-Ribeiro,Mário |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pita,Inês Bastos,Pedro Dinis-Ribeiro,Mário |
dc.subject.por.fl_str_mv |
Brachytherapy Radiation proctitis Rectal ulcer Rectal fistulae |
topic |
Brachytherapy Radiation proctitis Rectal ulcer Rectal fistulae |
description |
Chronic radiation proctopathy is a frequent complication after both pelvic external radiation therapy and brachytherapy and most commonly presents as rectal bleeding. Deep rectal ulcers and fistulae are much rarer and more clinically challenging consequences. We present the case of a 72-year-old male with a history of prostate adenocarcinoma treated with brachytherapy, who was referred to our institution due to a deep painful rectal ulcer refractory to medical treatment. The ulcer presented shortly after a haemorrhoid elastic band ligation and progressed to rectourethral fistulisation despite both faecal and urinary diversion. Our case demonstrates the importance of favouring a conservative approach when dealing with an irradiated rectum. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452018000100009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.25 n.1 2018 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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|
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1799137412977262592 |