Retroperitoneal sepsis with mediastinal and subcutaneous emphysema complicating stapled transanal rectal resection (STARR).
The STARR procedure was introduced a few years ago for the treatment of obstructed defaecation syndrome secondary to internal rectal intussusception and rectocele. We present a case of severe retroperitoneal sepsis with mediastinal and subcutaneous emphysema complicating STARR, treated by transperineal pelvic drainage and a loop sigmoid colostomy.
Stolfi
V M
VM
Department of Surgery, University Tor Vergata, Rome, Italy.
Micossi
C
C
Sileri
P
P
Venza
M
M
Gaspari
A
A
D001003:Anal Canal; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003082:Colectomy / Q000009:adverse effects*; D003113:Colonoscopy / Q000009:adverse effects* / Q000379:methods; D003125:Colostomy / Q000379:methods; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007443:Intussusception / Q000601:surgery; D008478:Mediastinal Emphysema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery; D017703:Retropharyngeal Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013536:Suture Techniques / Q000009:adverse effects* / Q000295:instrumentation; D013537:Sutures