Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differenti...Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differentiated adenocarcinoma.Further rectal bleeding occurred after six months,and colonoscopy detected an AR.Thus,an additional stapled colorectal anastomosis was performed.Ten months later,a colonoscopy detected a circumferential AR that prompted the completion of a second colorectal resection,with a doublestapled colorectal anastomosis.Twenty-four hours after surgery,a massive pulmonary embolism occurred,and the patient died within a few hours.At present,onlysix cases of repeated isolated AR have been described.Repeated segmental colorectal resections are generally associated with a favourable prognosis,with a median survival rate of 45 mo(range,13-132 mo).Repeated isolated ARs are rare,and segmental colorectal resections are generally associated with long-term diseasefree survival.展开更多
文摘Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differentiated adenocarcinoma.Further rectal bleeding occurred after six months,and colonoscopy detected an AR.Thus,an additional stapled colorectal anastomosis was performed.Ten months later,a colonoscopy detected a circumferential AR that prompted the completion of a second colorectal resection,with a doublestapled colorectal anastomosis.Twenty-four hours after surgery,a massive pulmonary embolism occurred,and the patient died within a few hours.At present,onlysix cases of repeated isolated AR have been described.Repeated segmental colorectal resections are generally associated with a favourable prognosis,with a median survival rate of 45 mo(range,13-132 mo).Repeated isolated ARs are rare,and segmental colorectal resections are generally associated with long-term diseasefree survival.
