title: [Rectal pocket syndrome after stapled haemorrhoidopexy].
abstract: We report the case of a 41-year-old female patient who presented in the emergency department with recurrent pain in the lower abdomen 3 years after haemorrhoidopexy (Longo's procedure). At clinical examination a space-occupying mass between the rectum and the vagina was present which was identified as a stool-loaded diverticulum of the rectum by magnetic resonance imaging. Using a perineal approach the diverticulum could be excised at its base and the defect of the mucosa was closed transanally with sutures. A diverticulum of the rectum is a rare complication (2.5%) after stapled haemorrhoidopexy. In the diagnostic of complications after Longo's haemorroidopexy the MRI constitutes an excellent auxiliary modality.
authors: Klinik für Chirurgie, Kantonsspital, St. Gallen, Schweiz.
authors: P
authors: P
authors: Folie
authors: K
authors: K
authors: Wolff
authors: L
authors: L
authors: Marti
authors: C
authors: C
authors: Fretz
authors: J
authors: J
authors: Lange
authors: F H
authors: FH
authors: Hetzer
mesh_terms: D000328:Adult; D004240:Diverticulum / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D013528:Surgical Staplers