Rectal diverticulum: a new complication of STARR procedure for obstructed defecation.
We report a case of rectal diverticulum developed after stapled transanal rectal resection (STARR) procedure for obstructed defecation. A 21-year-old woman with chronic constipation was diagnosed with a rectocele at defecography. The patient underwent STARR procedure. Six months later, she presented with severe constipation requiring enemas and a worse condition than that preoperatively. Defecography and rectoscopy revealed a rectal wall diverticulum cavity with incomplete elimination of barium enema. The patient underwent transanal diverticulectomy and direct rectal wall repair. STARR procedure can produce new and difficult-to-treat complications and should be reserved for expert colorectal surgeons with proved familiarity in transanal surgery.
First Division of General Surgery, Second University of Naples Policlinico, Naples, Italy.
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G
Sciaudone
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C
Di Stazio
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I
Guadagni
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F
Selvaggi
D000328:Adult; D003248:Constipation / Q000150:complications / Q000601:surgery*; D019841:Defecography; D004240:Diverticulum / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D011351:Proctoscopy; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D020047:Rectocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017792:Surgical Stapling