Ileocolic Anastomotic Ulcer after Surgery in Adulthood: Case Report and Review of the Literature

Zusammenfassung

Das Anastomosenulkus ist eine seltene Komplikation nach ileokolischer Anastomose, insbesondere bei Erwachsenen ohne entzündliche Darmerkrankung oder Tumorrezidiv. Wir berichten über einen 63-jährigen Patienten, bei dem 6 Jahre nach Hemikolektomie rechts ein Anastomosenulkus auftrat. Die in unserem Fall vorliegende deutliche Einschränkung der Gallensäureresorption konnte auf die ätiologische Bedeutung der Gallensäuren bei der Entwicklung eines Ulkus an der ileokolischen Anastomose hinweisen. Wir geben einen kurzen Überblick über die in der Literatur bisher beschriebenen 6 Patienten mit ileokolischen Anastomosenulzera.

Abstract

Anastomotic ulcer is a rare complication after ileocolic resection, especially in adults without evidence of inflammatory bowel disease or tumor recurrence. We report the case of a 63-year-old male patient who presented 6 years after ileocolic resection, and also review the data of six similar cases described in the literature. The markedly reduced bile acid absorption found in our case raises the possibility of an etiological role of bile acids in the development of ileocolic anastomotic ulcers.

Schlüsselwörter

Ulkus - ileokolische Anastomose - Gallensäuren und -salze

Key words

Ulcer - surgical anastomosis - bile acids and salts

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