A Case Report of Stricture Type of Ischemic Proctitis

Naoki Iwata, Soichiro Inoue¹⁾, Yasunori Kimura¹⁾, Mototoshi Nakamura²⁾ and Masafumi Itoh³⁾

Department of Surgery II, Nagoya University Graduate School of Medicine
Department of Surgery¹⁾ and Department of Radiology²⁾, Nagoya Central Hospital
Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital³⁾

A 67-year-old woman reporting abdominal pain and bloody stool and found in computed tomography (CT) to have wall thickening and consequent stenosis of the upper rectum, was also indicated in colonoscopy and barium enema to have severe upper rectum stenosis. Although the diagnosis was not confirmed by endoscopic biopsy, possibility of type 4 rectal cancer was not be denied. Histopathologic examination of the resected specimen following low anterior resection indicated ischemic proctitis. Since ischemic proctitis stricture is rare, we report this case with a review of the literature.

Key words
rectum, stricture type, ischemic colitis

Reprint requests
Naoki Iwata Department of Surgery II, Nagoya University Graduate School of Medicine
65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550 JAPAN

Accepted
September 16, 2009

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