Abstract
Obstructive colitis is found in about 6% of all colorectal cancers associating with obstruction. It presents difficulty in diagnosis and a few reports describing anastomotic leakage due to this disease can be seen. Here three cases of obstructive colitis are described.
All 3 cases presented with intestinal obstruction. One of the 3 cases was successfully diagnosed preoperatively, but the remaining 2 cases were diagnosed intraoperatively. During surgery, it was difficult to decide the extent and degree of the inflammation of the colon on the serosa side but only we can decide on the mucous side of the edge of the resection. So additional resection had to be performed in two cases.
In addition to the difficulty in diagnosis obstructive colitis offers a risk of anastomotic leakage, stenosis, or bleeding due to ulcerative lesion at the anastomosed site, if it is there. Then, we should examine the existence of the inflammation on the mucous edge of the resection to prevent post operative complication, and if it is found, additional resection for oral side colon should be carried out.
