Affiliation:
1. University Department of Surgery, Welsh National School of Medicine, Heath Park, Cardiff CF4 4XN
Abstract
Abstract
Two cases of stricture of the mid-rectum following extensive pelvic cellulitis due to the use of an intra-uterine contraceptive device (IUCD) are presented. The resulting dense circumferential extrarectal strictures failed to respond to treatment by proximal colostomy and antibiotic therapy and required difficult corrective resection. These are contrasted with an example of the more common upper rectal strictures associated with intraperitoneal sepsis of gynaecological origin, in this case pyosalpynx. Circumferential and transmural spread of inflammation tends to be limited by peritoneal reaction and the resulting strictures (which may be radiologically as severe as those in the mid-rectum) are often readily managed by simple removal of the source of infection. Thus, it appears that simple anatomical factors may be responsible for the differing pathologies seen in the two sites, and different management problems encountered within the two types of strictures.
Publisher
Oxford University Press (OUP)
Reference9 articles.
1. Risk of pelvic inflammatory disease amongst intrauterine device users irrespective of previous pregnancy;Osser;Lancet,1980
2. Salpingitis: a frequent response to intrauterine contraception;Smith;J. Reprod. Med.,1976
3. Perforation of the large bowel by a Lippes loop;Tushuizen;J. Obstet. Gynecol.,1973
4. Low end-to-side rectosigmoid anastomoses;Baker;Arch. Surg.,1950
5. Recent trends in the practice of sphincter-excision for rectal cancer;Goligher;Ann. R. Coll. Surg.,1979
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献