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Case Reports in Surgery
Volume 2018, Article ID 9806259, 3 pages
https://doi.org/10.1155/2018/9806259
Case Report

Transanal Drainage of Coloanal Anastomotic Leaks

1Department of Surgery, OhioHealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228, USA
2Division of Colon and Rectal Surgery, Wexner Medical Center, The Ohio State University, N737 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210, USA

Correspondence should be addressed to Syed Husain; ude.cmuso@niasuh.deys

Received 24 September 2017; Accepted 5 March 2018; Published 27 March 2018

Academic Editor: Nisar A. Chowdri

Copyright © 2018 Bradley Sherman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The conventional operative intervention for leaks following coloanal anastomoses has been proximal fecal diversion with or without take-down of anastomosis. A few of these cases are also amenable to percutaneous drainage. Ostomies created in this situation are often permanent, specifically in cases where coloanal anastomoses are taken down at the time of reoperation. We present two patients who developed perianastomotic pelvic abscesses that were treated with transanal large bore catheter drainage resulting in successful salvage of coloanal anastomoses without the need for a laparotomy or ostomy creation. We propose this to be an effective therapeutic approach to leaks involving low coloanal anastomoses in the absence of generalized peritonitis.