ISSN: 2578-482X
Authors: Perez Castilla A1*, Penailillo P1, Campana G1, Oksenberg D2 and Etchart M3
Introduction: Actinic enteritis is a complication derived from radiotherapy in the treatment of cancer. Almost all patients (60-90%) undergoing radiation in the abdomen, pelvis or rectum will present with signs of acute enteritis. Complications can be acute or chronic. Surgical treatment is reserved for persistente cases or Complications. Objective: To known the indication and the role of surgery in patients with intestinal obstruction secondary to actinic enteritis. Observing with images the macro and microscopic damage caused by actinic enteritis. Case Report: Female 38 years, 2015 Cervical cancer treated with chemotherapy, radiotherapy and brachytherapy. 2 years since beginning treatment, It begins with pain and abdominal distensión. CT study and colonoscopy confirm subocclusion in the distal ileum secondary to actinic enteritis. Due to the persistence of symptoms, resection and subsequent reconstitution of the compromised area (ilium stenosis at 5 cm ileocecal valve) is performed. Pathological analysis of the resected sample is performed.
Keywords: Actinic enteritis; Brachytherapy; Stenosis; Fistula formation; Colonoscopy biopsy