Scientific publications

Necrotizing fasciitis as a complication of late anastomotic leak after anterior resection for rectal cancer

Dec 1, 2021 | Magazine: Cirugía y cirujanos

Víctor Domínguez-Prieto  1 , Miguel León-Arellano  1 , Alicia Alvarellos-Pérez  1 , Mario Ortega-López  1 , Carlos Pastor  2

Background: Anastomotic leak is a serious complication of rectal cancer surgery that leads to increased morbidity and mortality. Its incidence is 3-21%, usually appearing 5-7 days after surgery, although there are cases of late presentation as chronic anastomotic fistulas or sinuses.

Case report: We present three cases of patients who underwent anterior resection for rectal cancer and developed necrotizing fasciitis due to late anastomotic leaks.

Conclusions: We believe that early and resolutive surgical treatment is recommended for chronic anastomotic fistulas or sinuses, even when asymptomatic, because of the associated risk of necrotizing fasciitis.

CITATION  Cir Cir. 2021;89(S2):80-83.  doi: 10.24875/CIRU.20001403