Acute ischemic proctitis: Report of four cases

Dipen Maun, Daniel Silverberg, Randolph M. Steinhagen

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Acute ischemic proctitis is an extremely rare clinical entity. It is mainly described in patients with significant atherosclerotic and cardiac risk factors who present with lower gastrointestinal symptoms in the setting of hemodynamic instability. Previous reports of ischemic proctitis suggest that rectal resection is not necessary in the treatment of this disease. We present four cases of acute ischemic proctitis that required complete proctectomy. All patients had large vessel atherosclerosis with rectal bleeding and sepsis as the presenting signs and symptoms. Three of four patients underwent complete proctectomy as the initial procedure. The fourth patient underwent complete proctectomy five days after the initial intervention. Two of four patients survived and were ultimately discharged from the hospital. A third patient recovered from surgery but ultimately died of respiratory complications. Only the patient who was initially treated by subtotal proctectomy died as the result of the disease. Although ischemic necrosis of the rectum is rare, complete proctectomy may be necessary to save the patient's life.

Original languageEnglish
Pages (from-to)1082-1086
Number of pages5
JournalDiseases of the Colon and Rectum
Volume50
Issue number7
DOIs
StatePublished - Jul 2007

Keywords

  • Ischemic proctitis
  • Proctectomy
  • Rectum

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