Rectal perforation following SpaceOAR placement combined with permanent prostate brachytherapy

Q4 Medicine

IJU Case Reports Pub Date : 2024-08-13 DOI:10.1002/iju5.12769

Masashi Morita, Mayo Tanabe, Chisa Kinugawa, Saori Nakamura, Satoshi Amano, Kota Nishimura, Jin Yamatoya, Tetsuo Noguchi, Aya Hiramatsu, Takashi Fukagai

{"title":"Rectal perforation following SpaceOAR placement combined with permanent prostate brachytherapy","authors":"Masashi Morita, Mayo Tanabe, Chisa Kinugawa, Saori Nakamura, Satoshi Amano, Kota Nishimura, Jin Yamatoya, Tetsuo Noguchi, Aya Hiramatsu, Takashi Fukagai","doi":"10.1002/iju5.12769","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Introduction</h3>\n \n <p>We report a case of rectal perforation following SpaceOAR placement utilized with iodine-125 low-dose-rate brachytherapy for prostate cancer.</p>\n </section>\n \n <section>\n \n <h3> Case presentation</h3>\n \n <p>A 65-year-old patient with localized prostate cancer underwent SpaceOAR placement following LDR-BT. No significant issues occurred with the SpaceOAR procedure, and no abnormalities were found on the next day's T2-weighted magnetic resonance imaging. Two weeks later, a colonoscopy was performed due to mucus stools revealing rectal perforation attributed to SpaceOAR. By maintaining Macrogol 4000 and a low residue diet, the perforation healed within 6 months.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Rectal ulcers and perforations are the most common severe adverse events from SpaceOAR placement. Effective management strategies are crucial since complications can't be entirely avoided, even with skilled surgeons.</p>\n </section>\n </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"7 5","pages":"414-418"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366436/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IJU Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/iju5.12769","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

We report a case of rectal perforation following SpaceOAR placement utilized with iodine-125 low-dose-rate brachytherapy for prostate cancer.

Case presentation

A 65-year-old patient with localized prostate cancer underwent SpaceOAR placement following LDR-BT. No significant issues occurred with the SpaceOAR procedure, and no abnormalities were found on the next day's T2-weighted magnetic resonance imaging. Two weeks later, a colonoscopy was performed due to mucus stools revealing rectal perforation attributed to SpaceOAR. By maintaining Macrogol 4000 and a low residue diet, the perforation healed within 6 months.

Conclusion

Rectal ulcers and perforations are the most common severe adverse events from SpaceOAR placement. Effective management strategies are crucial since complications can't be entirely avoided, even with skilled surgeons.

Abstract Image

查看原文本刊更多论文

SpaceOAR 置入术联合永久性前列腺近距离放射治疗后出现直肠穿孔。

导言：我们报告了一例利用碘-125 低剂量近距离放射治疗前列腺癌的 SpaceOAR 置入术后直肠穿孔的病例：一名 65 岁的局部前列腺癌患者在 LDR-BT 后接受了 SpaceOAR 置入术。SpaceOAR 手术未出现重大问题，第二天的 T2 加权磁共振成像也未发现异常。两周后，由于粘液便显示直肠穿孔，患者接受了结肠镜检查。通过坚持 Macrogol 4000 和低渣饮食，穿孔在 6 个月内愈合：直肠溃疡和穿孔是放置 SpaceOAR 最常见的严重不良反应。结论：直肠溃疡和穿孔是 SpaceOAR 置入术后最常见的严重不良反应，有效的处理策略至关重要，因为即使是技术娴熟的外科医生也无法完全避免并发症的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊