Stomal passage of a mucosal colonic cast without any features of acute peritonitis is a very rare incidence and reflects ischemia of large bowel. In the literature concerning transanal passage of a colonic cast, aortic surgery occupies by far the first range due to impaired perfusion. Gastrointestinal system complication of greft versus host disease, side-effect of bevacizumab treatment are other causes. Aim of this study is to share our exprience about this extra-ordinary situation that cause of the cast passage is high ligation of IMA (inferior mesenteric artery) after colorectal surgery.
Keywords: Colorectal surgery, colonic cast, colonic ischemia