Journal of Yeungnam Medical Science

Original articles

Assessment of normal anal sphincter anatomy using transanal ultrasonography in healthy Korean volunteers: a retrospective observational study: Daeho Shon, Sohyun Kim, Sung Il Kang; J Yeungnam Med Sci. 2022;39(3):230-234. Published online December 2, 2021; DOI: https://doi.org/10.12701/yujm.2021.01515

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Background
To date, there have been no studies on the normal anatomic values of the anal sphincter in healthy Koreans. Therefore, this study aimed to determine the normal anatomic values of transanal ultrasonography (TAUS).
Methods
The thickness of the external anal sphincter (EAS) and internal anal sphincter (IAS) was measured by TAUS from healthy Korean volunteers between September 2019 and August 2021.
Results
Thirty-six volunteers with a median age of 37 years (range, 20–77 years) and a median body mass index (BMI) of 23.5 kg/m2 (range, 17.2–31.2 kg/m2) were examined. The median thickness of the EAS at 4 cm and 2 cm from the anal verge was 7.4 mm (range, 5.8–8.8 mm) and 6.5 mm (range, 5.6–8.0 mm), respectively. The median thickness of the IAS at 2 cm from the anal verge was 1.8 mm (range, 0.8-4.3 mm). There were no differences in sphincter muscle thickness between the sexes. However, the EAS tended to thicken as the BMI increased (EAS at 2 cm and 4 cm from the anal verge, Spearman rho=0.433, 0.363; p=0.008 and p=0.029, respectively).
Conclusion
In healthy Korean, the median thickness of the IAS at 2 cm from the anal verge was 1.8 mm and the median thickness of the EAS at 2 cm and 4 cm from the anal verge was 6.5 mm and 7.4 mm respectively. There were no differences in anal sphincter thickness between sexes, but BMI was related to EAS thickness.

Citations

Citations to this article as recorded by

Anal Sphincter Defect and Fecal Incontinence
Sherief Mansi, Karla Vaz, Neha R. Santucci, Khalil El-Chammas, Kahleb Graham, Nelson G. Rosen, Ajay Kaul
JPGN Reports.2022; 3(4): e254. CrossRef

Clinical effectiveness of omental transposition in facilitating perineal wound healing after abdominoperineal resection: a systematic review: Sungjin Kim, Sung Il Kang, Sohyun Kim, Jae Hwang Kim; Yeungnam Univ J Med. 2021;38(3):219-224. Published online February 9, 2021; DOI: https://doi.org/10.12701/yujm.2020.00871

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Abstract PDF: Background
Omental transposition has been used to facilitate perineal wound healing in patients undergoing abdominoperineal resection (APR). However, there is no high-level evidence supporting the effectiveness of omental transposition in this regard. This study aimed to investigate the clinical efficacy of omental transposition in facilitating perineal wound healing after APR.
Methods
In this systematic review, we systematically searched the PubMed/MEDLINE, Embase, Scopus, Cochrane Library, and Web of Science databases for literature regarding the topic of our study. Studies published since the inception of each database were considered for review. The outcomes of interest were the perineal wound healing rate at 1 and 3 months postoperatively, perineal wound infection rate, and perineal wound healing period.
Results
Of the 1,923 studies identified, four articles representing 819 patients (omental transposition patients, n=295) were included in the final analysis. The wound healing rates at 1 and 3 months postoperatively in the omental transposition group (68.5% and 79.7%, respectively) did not significantly differ from those in the control group (57.4% and 78.7%, respectively) (p=0.759 and p=0.731, respectively). Perineal wound infection and chronic wound complication rates, including sinus, dehiscence, and fistula rates, also did not significantly differ between the omental transposition (8% and 7%, respectively) and control (11% and 7%, respectively) groups (p=0.221 and p=0.790, respectively).
Conclusion
Our results suggest that omental transposition does not affect perineal wound healing in patients who undergo APR.

Case report

Synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum found during laparoscopic surgery for adult intussusception: Sung Il Kang, Mi Jin Gu; Yeungnam Univ J Med. 2020;37(3):226-229. Published online December 18, 2019; DOI: https://doi.org/10.12701/yujm.2019.00388

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Abstract PDF

We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel’s diverticulum with ectopic pancreatic tissue.

Citations

Citations to this article as recorded by

Intestinal intussusception of Meckel’s diverticulum, a case report and literature review of the last five years
Dora Sandoval Schaedlich, Pedro Custodio de Mello Borges, Arnaldo Lacombe, Renato Alonso Moron
einstein (São Paulo).2023;[Epub] CrossRef
A Rare Cause of Colonic Obstruction: Inflammatory Fibroid Polyp
Sevinc Dagistanli, Nermin Gunduz, Osman Sibic, Suleyman Sonmez
Cureus.2022;[Epub] CrossRef
Case Report: Ileo-Ileal Intussusception Secondary to Inflammatory Fibroid Polyp: A Rare Cause of Intestinal Obstruction
Claudio Guerci, Francesco Colombo, Gloria Goi, Pietro Zerbi, Barbara Pirrò, Piergiorgio Danelli
Frontiers in Surgery.2022;[Epub] CrossRef
Adult intussusception: a challenge to laparoscopic surgery?
Mingze Sun, Zhongmin Li, Zhenbo Shu, Qi Wu, Xue Liu
PeerJ.2022; 10: e14495. CrossRef
Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp
Yi-Kai Kao, Jian-Han Chen
Medicine.2020; 99(36): e22080. CrossRef

Case Report

Incarcerated pericecal hernia: a rare form of the internal hernia: Sung Il Kang; Yeungnam Univ J Med. 2018;35(2):236-239. Published online December 31, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.2.236

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Abstract PDF

A pericecal hernia is a rare form of an internal hernia, which has been described in several case reports. We present a case of a 32-year-old woman who complained of vague abdominal pain a day prior to admission. Abdominal computed tomography revealed the presence of a pericecal hernia without bowel ischemia. The patient underwent manual hernia reduction and was discharged without complications. We describe this case in detail and provide a review of the pertinent literature.

Citations

Citations to this article as recorded by

Sigmoid mesocolon internal hernia: a case report
Kiki Lukman, Bambang Am Am Setya Sulthana, Rio Andreas, Prapanca Nugraha
Annals of Medicine & Surgery.2023; 85(5): 2115. CrossRef

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