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December 1958

Granuloma Caused by Fishbone in Rectosigmoid Anastomosis

Author Affiliations

San Francisco
From the Department of Ano-Rectal Surgery, Mount Zion Hospital and Medical Center.

AMA Arch Surg. 1958;77(6):1004-1007. doi:10.1001/archsurg.1958.01290050174033

The anastomosis which is made in the anterior resection for carcinoma of the rectosigmoid must be kept under periodic observation. It is commonly the site of recurrence, and constriction of the lumen, with interference with the free flow of intestinal contents, may occur. The following case is reported to emphasize the fact that narrowing of the anastomosis may entrap a foreign body which may produce a granuloma clinically resembling a recurrence of the carcinoma.

Report of Case  A 61-year-old white man was hospitalized in April, 1952, for a severe myocardial infarction. During his hospitalization rectal bleeding was noted, and sigmoidoscopy was performed. A large, multilobulated tumor of the rectosigmoid (13 cm.) was seen and biopsied; the diagnosis of adenocarcinoma was confirmed by the pathologist (Fig. 1). As soon as the patient was deemed able to undergo radical surgery (May 22, 1952), an anterior resection was performed. There was no gross

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