A 54-year-old male was treated in 2015 for low-rectal adenocarcinoma (ypT3N1cM0) by neoadjuvant radio-chemotherapy, abdominoperineal amputation and adjuvant chemotherapy. During the follow-up, imaging tests (CT, MRI, PET-CT) (Fig. 1-M RI) revealed a 20×12mm nodule in the elevator muscle of the right anus, suggestive of local recurrence.
We decided to mark the injury with a harpoon guided by CT (Fig. 2) and extirpation by posterior approach (Kraske procedure). The pathological anatomy reports “infiltration by intestinal pattern adenocarcinoma in soft presacral tissues” with free margins. The postoperative period elapsed without incidents, with the patient being discharged on the fifth postoperative day.
Please cite this article as: Muñoz Rodríguez JM, Alonso Sebastián I, Bennazar Nin R, Sánchez Movilla A. Localización preoperatoria mediante arpón de recidiva local de adenocarcinoma de recto tras amputación abdominoperineal. Cir Esp. 2019;97:109.
