Laparoscopic rectopexy for solitary ulcer of rectum syndrome in a child.
BACKGROUND
Solitary ulcer of rectum syndrome occurs rarely in children, and the diagnosis may be difficult. Rectopexy has already been reported with good results in adults and children. We report the first laparoscopic rectopexy in children.


METHODS
We report the first case of rectopexy performed according to the Orr-Loygue technique using a laparoscopic approach in children. Three trocars were used. A polypropylene mesh was sutured on each side of the rectum and fixed to the promontary with a nonabsorbable suture. The operative time was 150 min.


RESULTS
The postoperative course was uneventful. The boy was discharged on postoperative day 3. The rectoscopy at 4 months was normal. The rectal bleeding and pain had disappeared by the 18-month follow-up assessment.


CONCLUSIONS
We report a successful laparoscopic rectopexy for solitary ulcer of rectum syndrome in a child. The procedure is simple, safe, and reproductible, giving good results in the reported case.
Department of Pediatric Surgery, Hôpital Robert Debré, 48 Boulevard Sérurier, 75019 Paris, France. bonnard@noos.fr
A
A
Bonnard
J P
JP
Mougenot
L
L
Ferkdadji
O
O
Huot
Y
Y
Aigrain
P
P
De Lagausie
D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D012002:Rectal Diseases / Q000601:surgery*; D013577:Syndrome; D014456:Ulcer / Q000601:surgery*