Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula
This report presents a surgical case of postoperative megarectum in an adult patient with imperforate anus/anorectal malformations. A 71-year-old Japanese male presented with a mass in the lower abdomen which was 15 × 12 × 8 cm in diameter, edema in the right lower extremity, and frequent urination....
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/613926 |
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| author | Yoshifumi Nakayama Toshihito Uehara Masaki Akiyama Noritaka Minagawa Takayuki Torigoe Naohiro Fujimoto |
| author_facet | Yoshifumi Nakayama Toshihito Uehara Masaki Akiyama Noritaka Minagawa Takayuki Torigoe Naohiro Fujimoto |
| author_sort | Yoshifumi Nakayama |
| collection | DOAJ |
| description | This report presents a surgical case of postoperative megarectum in an adult patient with imperforate anus/anorectal malformations. A 71-year-old Japanese male presented with a mass in the lower abdomen which was 15 × 12 × 8 cm in diameter, edema in the right lower extremity, and frequent urination. He had undergone sigmoid loop colostomy for an imperforate anus as a newborn infant. At 28 years of age, the sigmoid loop colostomy was changed to sigmoid divided colostomy in the left lower abdomen. Computed tomography revealed a large cystic mass in the lower abdomen. Retrograde urethrography indicated a rectourethral fistula and megarectum with stones. A small laparotomy incision was created in the right lower abdomen, and the wall of the megarectum was identified. Approximately 2,300 mL of gray muddy fluid was identified and drained. A mucous fistula of the upper rectum was created in the right lower abdomen. This is an extremely rare case of postoperative megarectum in an adult patient with an imperforate anus and rectourethral fistula. |
| format | Article |
| id | doaj-art-136277f832fe4a5e9fd24744d0c9ea47 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-136277f832fe4a5e9fd24744d0c9ea472025-02-03T06:07:16ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362015-01-01201510.1155/2015/613926613926Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral FistulaYoshifumi Nakayama0Toshihito Uehara1Masaki Akiyama2Noritaka Minagawa3Takayuki Torigoe4Naohiro Fujimoto5Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanDepartment of Urology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, JapanThis report presents a surgical case of postoperative megarectum in an adult patient with imperforate anus/anorectal malformations. A 71-year-old Japanese male presented with a mass in the lower abdomen which was 15 × 12 × 8 cm in diameter, edema in the right lower extremity, and frequent urination. He had undergone sigmoid loop colostomy for an imperforate anus as a newborn infant. At 28 years of age, the sigmoid loop colostomy was changed to sigmoid divided colostomy in the left lower abdomen. Computed tomography revealed a large cystic mass in the lower abdomen. Retrograde urethrography indicated a rectourethral fistula and megarectum with stones. A small laparotomy incision was created in the right lower abdomen, and the wall of the megarectum was identified. Approximately 2,300 mL of gray muddy fluid was identified and drained. A mucous fistula of the upper rectum was created in the right lower abdomen. This is an extremely rare case of postoperative megarectum in an adult patient with an imperforate anus and rectourethral fistula.http://dx.doi.org/10.1155/2015/613926 |
| spellingShingle | Yoshifumi Nakayama Toshihito Uehara Masaki Akiyama Noritaka Minagawa Takayuki Torigoe Naohiro Fujimoto Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula Case Reports in Gastrointestinal Medicine |
| title | Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula |
| title_full | Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula |
| title_fullStr | Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula |
| title_full_unstemmed | Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula |
| title_short | Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula |
| title_sort | postoperative megarectum in an adult patient with imperforate anus and rectourethral fistula |
| url | http://dx.doi.org/10.1155/2015/613926 |
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