Skip to main content
SpringerLink
Log in

Two cases of rectal carcinoma associating aorto-iliac occlusive disease

  • Case Reports
  • Published:
The Japanese journal of surgery Aims and scope Submit manuscript

Abstract

Two cases of rectal carcinoma associating aorto-iliac occlusive disease are presented. These two cases had complete obstruction of the affected vessels, but many collateral pathways from the aorta to the legs had developed, mainly through the superior rectal artery or parietal vessels. Changes in blood flow to the legs, following the radical operation for rectal carcinoma, were examined by both preoperative angiography and perioperative Doppler flow meter. Vascular reconstruction was carried out in one case prior to resection of the rectum, in order to prevent the ischemic legs from becoming worse, or necrotic. The indications for supportive vascular surgery in the case of rectal carcinoma with aorto-iliac occlusive disease are discussed herein.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Friedenberg MJ, Perez CA. Collateral circulation in aorto-ilio-femoral occlusive disease; as demonstrated by a unilateral percutaneous common femoral artery needle injection. Am J Roentgenol Radium Ther Nucl Med 1965; 94: 145–158.

    PubMed  CAS  Google Scholar 

  2. Moskowitz M, Zimmerman H, Felson B. The mean-dering mesenteric artery of the colon. Am J Roentgenol Radium Ther Nucl Med 1964; 92: 1088–1099.

    PubMed  CAS  Google Scholar 

  3. Muller RF, Figley MM. The arteries of the abdomen, pelvis and thigh: I. Normal roentgenographic anatomy. II. Collateral circulation in obstructive arterial disease. Am J Roentgenol Radium Ther Med 1957; 77: 296–311.

    Google Scholar 

  4. Lindstrom BL. The value of the collateral circulation from the inferior mesenteric artery in obliteration of the lower abdominal aorta. Acta Chir Scand 1950; 100: 367–374.

    PubMed  CAS  Google Scholar 

  5. Rosenman LD. In Connoly JE, Stemmer EA: Intestinal gangrene as the result of mesenteric arterial steal. Am J Surg 1973; 126: 197–204.

    Article  Google Scholar 

  6. Devine TJ, Myer KA, Slattery PG. Severe leg ischemia caused by anterior resection of the rectum. Br J Surg 1980; 67: 52–53.

    PubMed  CAS  Google Scholar 

  7. Granger DN, Bulkley GB. Measurement of blood flow: Application to the splanchnic circulation. Baltimore: Williams & Wilkins 1981.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, School of Medicine, Keio University, 7-28 Tokiwa 2-chome, 516, Ise City, Mie Prefecture, Japan

    Koutaro Maeda MD, Susumu Kodaira, Tatsuo Teramoto, Masahiro Orii & Osahiko Abe

Authors
  1. Koutaro Maeda MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Susumu Kodaira
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tatsuo Teramoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masahiro Orii
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Osahiko Abe
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Maeda, K., Kodaira, S., Teramoto, T. et al. Two cases of rectal carcinoma associating aorto-iliac occlusive disease. The Japanese Journal of Surgery 17, 289–292 (1987). https://doi.org/10.1007/BF02470702

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02470702

Key Words

Search

Navigation