A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence
A 69-year-old female presented as an emergency with atrial fibrillation, which was treated with warfarin. She subsequently developed fresh rectal bleeding and after further investigations a Dukes B adenocarcinoma of the rectum was found. She subsequently underwent a low anterior resection, coloanal...
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Online Access: | http://dx.doi.org/10.1155/2009/978038 |
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doaj-17aba7ca5d2f44a0bd661f7f8d1fee2f2020-11-25T00:22:42ZengHindawi LimitedAdvances in Urology1687-63691687-63772009-01-01200910.1155/2009/978038978038A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis DehiscenceW. Mahmalji0H. Mackenzie1A. Chopada2A. Raza3Department of Urology, Ealing Hospital NHS Trust, Middlesex UB1 3HW, UKDepartment of Urology, Ealing Hospital NHS Trust, Middlesex UB1 3HW, UKDepartment of Colo-Rectal Surgery, Ealing Hospital NHS Trust, Middlesex UB1 3HW, UKDepartment of Urology, Ealing Hospital NHS Trust, Middlesex UB1 3HW, UKA 69-year-old female presented as an emergency with atrial fibrillation, which was treated with warfarin. She subsequently developed fresh rectal bleeding and after further investigations a Dukes B adenocarcinoma of the rectum was found. She subsequently underwent a low anterior resection, coloanal anastamosis and a defunctioning ileostomy. Three sterile surgical metallic tacks (pins) were inserted into the sacrum to stop brisk bleeding from the presacral venous plexus. Following discharge, she was readmitted with septic shock and a CT scan revealed a presacral fluid collection in the area surrounding the sacral tacks (pins) and an anastamotic dehiscence. The patient was not fit for further pelvic surgery to remove the tacks, so an alternative minimally invasive cystoscopic procedure was performed. The sacral tacks (pins) were removed by the urologist using a rigid cystoscope and cold cup biopsy forceps. To our knowledge, this is the first reported case in the literature.http://dx.doi.org/10.1155/2009/978038 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
W. Mahmalji H. Mackenzie A. Chopada A. Raza |
spellingShingle |
W. Mahmalji H. Mackenzie A. Chopada A. Raza A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence Advances in Urology |
author_facet |
W. Mahmalji H. Mackenzie A. Chopada A. Raza |
author_sort |
W. Mahmalji |
title |
A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence |
title_short |
A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence |
title_full |
A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence |
title_fullStr |
A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence |
title_full_unstemmed |
A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence |
title_sort |
novel use for the rigid cystoscope: the removal of sacral tacks after a coloanal anastamosis dehiscence |
publisher |
Hindawi Limited |
series |
Advances in Urology |
issn |
1687-6369 1687-6377 |
publishDate |
2009-01-01 |
description |
A 69-year-old female presented as an emergency with atrial fibrillation, which was treated with warfarin. She subsequently developed fresh rectal bleeding and after further investigations a Dukes B adenocarcinoma of the rectum was found. She subsequently underwent a low anterior resection, coloanal anastamosis and a defunctioning ileostomy. Three sterile surgical metallic tacks (pins) were inserted into the sacrum to stop brisk bleeding from the presacral venous plexus. Following discharge, she was readmitted with septic shock and a CT scan revealed a presacral fluid collection in the area surrounding the sacral tacks (pins) and an anastamotic dehiscence. The patient was not fit for further pelvic surgery to remove the tacks, so an alternative minimally invasive cystoscopic procedure was performed. The sacral tacks (pins) were removed by the urologist using a rigid cystoscope and cold cup biopsy forceps. To our knowledge, this is the first reported case in the literature. |
url |
http://dx.doi.org/10.1155/2009/978038 |
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