Cirugia y cirujanos · 2021
Necrotizing fasciitis as a complication of late anastomotic leak after anterior resection for rectal cancer.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Domínguez-Prieto Víctor, León-Arellano Miguel, Alvarellos-Pérez Alicia, Ortega-López Mario, Pastor Carlos
Аннотация
BACKGROUND: Anastomotic leak is a serious complication of rectal cancer surgery that leads to increased morbidity and mortality. Its incidence is 3-21%, usually appearing 5-7 days after surgery, although there are cases of late presentation as chronic anastomotic fistulas or sinuses.
CASE REPORT: We present three cases of patients who underwent anterior resection for rectal cancer and developed necrotizing fasciitis due to late anastomotic leaks.
CONCLUSIONS: We believe that early and resolutive surgical treatment is recommended for chronic anastomotic fistulas or sinuses, even when asymptomatic, because of the associated risk of necrotizing fasciitis.
CASE REPORT: We present three cases of patients who underwent anterior resection for rectal cancer and developed necrotizing fasciitis due to late anastomotic leaks.
CONCLUSIONS: We believe that early and resolutive surgical treatment is recommended for chronic anastomotic fistulas or sinuses, even when asymptomatic, because of the associated risk of necrotizing fasciitis.