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Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 26-29

Perineal colostomy following abdomino-perineal resection for rectal cancer-A case report

Department of General Surgery, Columbia Asia Hospital, Mysore, Karnataka, India

Correspondence Address:
Vasudeva Pai Hosdurg
539/K, “Mahalasa”, 4th Stage 1st Phase, Vijaya Nagar, Mysore - 570 017, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJCS.IJCS_1_18

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The management of ultralow rectal cancers within 2 cm from the dentate line is still challenging. Abdominoperineal resection (APR) is the gold standard in the treatment of ultralow rectal cancers. Conventional APR involves the construction of a left iliac fossa (LIF) end colostomy. The taboo associated with a permanent abdominal colostomy results in a poor self-esteem and a poor quality of life. Pseudocontinent perineal colostomy (PCPC) is an alternative reconstruction technique following APR in which the colostomy is placed in the perineum and a graft of smooth colonic muscle tightly surrounds the lowered colon. We present the case of a young unmarried gentleman who underwent an APR and living with a left iliac fossa colostomy who underwent this procedure. The case is of interest since a similar case report could not be found from India and also since the PCPC in our case is done as a secondary procedure.

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