Pulido-López RA, Ramírez-Buensuceso-Conde NA, Romero-Sánchez JA, Martínez-Martínez HG, Navarro-Castañeda CA, Ochoa-Contreras EC

Language: Spanish
References: 17
Page: 38-43
PDF size: 236.85 Kb.

ABSTRACT

Introduction: the first report on the application of endoluminal vacuum therapy (EVT) was published in 2003. EVT is currently recognized as a new treatment method for gastrointestinal complications of different etiology, with success rates of 84 to 91%. To date, there are few case reports of EVT associated with transanal rinsing treatment (TRT) for the treatment of rectal stump abscess. The objective of this article is to report and analyze the advantages and limitations of this technique. Clinical case: we report a patient in her seventh decade with a history of left hemicolectomy and Hartmann procedure due to intestinal ischemia. She came 30 days after, she presents fever and transanal output of pus. She was admitted for suspected rectal abscess. Rectosigmoidoscopy revealed an intact rectal stump and abundant purulent discharge. A hand-crafted endosponge was made and EVT+TRT was established continuously. On the sixth day, an endoscopic review was performed, without evidence of infection. Two-month follow-up with no recurrence data. Conclusion: this case is an example of how the association of TVE+TIT can be effective for the management of rectal stump abscess and thus be considered as a safe alternative to surgical intervention in selected cases.

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