Yıl 2019, Cilt 4 , Sayı 3, Sayfalar 148 - 151 2019-12-01

Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature
Perineal psödo-kontinan kolostomi üzerinde alt rektal karsinom rekürrensinin başarılı tedavisi: Bir olgu sunumu ve literatürün gözden geçirilmesi

Malek Bouhani [1] , Olfa Jaidane [2] , Mohamed Amine Bouida [3] , Radhi Bennaceur [4] , Riadh Chargui [5] , Khaled Rahal [6]


Recurrence of lower rectal carcinoma on perineal pseudo-continent colostomy is rarely reported in the literature. It presents a real challenge for the physician. The aim of this case report was to document an exceptional recurrence and how to manage it. 

A 56-year-old man presented with stage II adenocarcinoma of the lower rectum. He received concomitant chemoradiation followed by abdominoperineal resection with perineal pseudo-continent colostomy. Three years later, he developed a local recurrence of his prior adenocarcinoma, on the perineal pseudo-continent colostomy. He underwent wide excision, followed by reconstruction with a rectus abdominis myocutaneous flap with an inferior pedicle and an oblique skin paddle. He underwent adjuvant chemotherapy. The patient is free of disease with three years follow up.

Extended resection should be considered as an initial treatment for locally recurrent rectal cancer. 

Perineal psödo-kontinan kolostomi üzerinde alt rektal karsinomun rekürrensi literatürde nadiren bildirilmektedir ve hekimler için gerçek bir zor durum oluşturmaktadır. Bu çalışmada, rektum kanserinde nadir bir rekürrens ve yönetimi sunulmuştur.

56 yaşında bir erkek hasta alt rektum yerleşimli evre II adenokarsinom ile başvurdu. Eş zamanlı kemoradyoterapi ve ardından perineal psödo-kontinan kolostomi ile abdominoperineal rezeksiyon yapıldı. Üç yıl sonra, perineal psödo-kontinan kolostomi üzerinde önceki adenokarsinomunun lokal rekürrensi gelişti. Hastaya geniş eksizyon uygulandı, ardından rektus abdominis miyokutan flebi ile inferior pedikül ve oblik cilt adasıyla rekonstrüksiyon yapıldı. Hasta adjuvan kemoterapi aldı. Hasta 3 yıllık takip süresinde hastalıksız olarak izlenmektedir.

Genişletilmiş bir rezeksiyon, lokal rekürren rektum kanseri için ilk ​​tedavi olarak düşünülmelidir.

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Birincil Dil en
Konular Cerrahi
Bölüm Olgu Sunumu
Yazarlar

Orcid: 0000-0001-5913-911X
Yazar: Malek Bouhani (Sorumlu Yazar)
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Orcid: 0000-0002-8157-0544
Yazar: Olfa Jaidane
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Orcid: 0000-0002-2491-307X
Yazar: Mohamed Amine Bouida
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Orcid: 0000-0002-7841-5105
Yazar: Radhi Bennaceur
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Orcid: 0000-0002-4518-4048
Yazar: Riadh Chargui
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Orcid: 0000-0002-6093-4257
Yazar: Khaled Rahal
Kurum: Salah Azaiz Institute
Ülke: Tunisia


Tarihler

Yayımlanma Tarihi : 1 Aralık 2019

Bibtex @olgu sunumu { acem589711, journal = {Archives of Clinical and Experimental Medicine}, issn = {}, eissn = {2564-6567}, address = {hırkai şerif mah. keçeci çeşmesi sok. doktorlar sitesi b blok 6/7 Fatih İstanbul Türkiye}, publisher = {Mustafa Hasbahçeci}, year = {2019}, volume = {4}, pages = {148 - 151}, doi = {10.25000/acem.589711}, title = {Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature}, key = {cite}, author = {Bouhani, Malek and Jaidane, Olfa and Bouida, Mohamed Amine and Bennaceur, Radhi and Chargui, Riadh and Rahal, Khaled} }
APA Bouhani, M , Jaidane, O , Bouida, M , Bennaceur, R , Chargui, R , Rahal, K . (2019). Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature. Archives of Clinical and Experimental Medicine , 4 (3) , 148-151 . DOI: 10.25000/acem.589711
MLA Bouhani, M , Jaidane, O , Bouida, M , Bennaceur, R , Chargui, R , Rahal, K . "Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature". Archives of Clinical and Experimental Medicine 4 (2019 ): 148-151 <https://dergipark.org.tr/tr/pub/acem/issue/50377/589711>
Chicago Bouhani, M , Jaidane, O , Bouida, M , Bennaceur, R , Chargui, R , Rahal, K . "Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature". Archives of Clinical and Experimental Medicine 4 (2019 ): 148-151
RIS TY - JOUR T1 - Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature AU - Malek Bouhani , Olfa Jaidane , Mohamed Amine Bouida , Radhi Bennaceur , Riadh Chargui , Khaled Rahal Y1 - 2019 PY - 2019 N1 - doi: 10.25000/acem.589711 DO - 10.25000/acem.589711 T2 - Archives of Clinical and Experimental Medicine JF - Journal JO - JOR SP - 148 EP - 151 VL - 4 IS - 3 SN - -2564-6567 M3 - doi: 10.25000/acem.589711 UR - https://doi.org/10.25000/acem.589711 Y2 - 2019 ER -
EndNote %0 Archives of Clinical and Experimental Medicine Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature %A Malek Bouhani , Olfa Jaidane , Mohamed Amine Bouida , Radhi Bennaceur , Riadh Chargui , Khaled Rahal %T Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature %D 2019 %J Archives of Clinical and Experimental Medicine %P -2564-6567 %V 4 %N 3 %R doi: 10.25000/acem.589711 %U 10.25000/acem.589711
ISNAD Bouhani, Malek , Jaidane, Olfa , Bouida, Mohamed Amine , Bennaceur, Radhi , Chargui, Riadh , Rahal, Khaled . "Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature". Archives of Clinical and Experimental Medicine 4 / 3 (Aralık 2019): 148-151 . https://doi.org/10.25000/acem.589711
AMA Bouhani M , Jaidane O , Bouida M , Bennaceur R , Chargui R , Rahal K . Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature. ACEM. 2019; 4(3): 148-151.
Vancouver Bouhani M , Jaidane O , Bouida M , Bennaceur R , Chargui R , Rahal K . Successful management of lower rectal carcinoma recurrence on perineal pseudo-continent colostomy: a case report and review of literature. Archives of Clinical and Experimental Medicine. 2019; 4(3): 151-148.