IJU case reports · 2022
Ischemic proctitis after low-dose-rate brachytherapy using hydrogel spacer for prostate cancer.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Toriumi Ren, Yaegashi Hiroshi, Sakurai Takayuki, Takamatsu Shigeyuki, Shigehara Kazuyoshi, Izumi Kouji, Kadono Yoshifumi, Mizokami Atsushi
Аннотация
INTRODUCTION: Recently, an absorbable hydrogel spacer is becoming more widespread to reduce rectal radiation dose for radiation therapy for localized prostate cancer.
CASE PRESENTATION: A 79-year-old male patient was referred to our hospital for radical treatment of organ-confined prostate cancer. Low-dose-rate brachytherapy was performed, and the hydrogel spacer injection was added. The spacer was properly injected between the prostate and the rectum, causing no acute complications during hospitalization. Two months after low-dose-rate brachytherapy, the patient visited our hospital with constipation and melena, without fever. He was diagnosed with ischemic proctitis based on clinical courses and examinations. He was hospitalized for 19 days and made a complete recovery with conservative treatment.
CONCLUSIONS: Herein, we report the first case of ischemic proctitis after low-dose-rate brachytherapy using hydrogel spacer for prostate cancer.
CASE PRESENTATION: A 79-year-old male patient was referred to our hospital for radical treatment of organ-confined prostate cancer. Low-dose-rate brachytherapy was performed, and the hydrogel spacer injection was added. The spacer was properly injected between the prostate and the rectum, causing no acute complications during hospitalization. Two months after low-dose-rate brachytherapy, the patient visited our hospital with constipation and melena, without fever. He was diagnosed with ischemic proctitis based on clinical courses and examinations. He was hospitalized for 19 days and made a complete recovery with conservative treatment.
CONCLUSIONS: Herein, we report the first case of ischemic proctitis after low-dose-rate brachytherapy using hydrogel spacer for prostate cancer.