©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5252-5258
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5252
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5252
Long-term outcome of indwelling colon observed seven years after radical resection for rectosigmoid cancer: A case report
Zi-Xuan Zhuang, Ming-Tian Wei, Xu-Yang Yang, Yang Zhang, Wen Zhuang, Zi-Qiang Wang, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Zhuang ZX reviewed the literature and wrote the manuscript; Zhang Y analyzed and interpreted the imaging findings; Wang ZQ, Zhuang W, Yang XY, and Wei MT edited and revised the manuscript; all the authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist, and the manuscript was prepared and revised according to the CARE Checklist.
Corresponding author: Zi-Qiang Wang, MD, PhD, Chief Physician, Professor, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Wuhou District, Chengdu 610041, Sichuan Province, China. wangziqiang@scu.edu.cn
Received: January 30, 2021
Peer-review started: January 30, 2021
First decision: February 25, 2021
Revised: February 28, 2021
Accepted: May 19, 2021
Article in press: May 19, 2021
Published online: July 6, 2021
Processing time: 144 Days and 23 Hours
Peer-review started: January 30, 2021
First decision: February 25, 2021
Revised: February 28, 2021
Accepted: May 19, 2021
Article in press: May 19, 2021
Published online: July 6, 2021
Processing time: 144 Days and 23 Hours
Core Tip
Core Tip: We present a case of purulent colonic necrosis in an indwelling colon that occurred 7 years after colonic exclusion. Although colonic exclusion is routinely performed for a variety of colonic diseases, indwelling colon can present with long-term complications after several years. The mechanism due to which such complications develop remains unclear, but both disuse atrophy and diversion colitis seem to play a role in their pathology. Surgeons should avoid sealing both ends of the excluded colon. We recommend continuous surveillance for an earlier detection and treatment of such complications.