[Rectal pocket syndrome after stapled haemorrhoidopexy].
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.
Folie
P
P
Klinik für Chirurgie, Kantonsspital, St. Gallen, Schweiz.
Wolff
K
K
Marti
L
L
Fretz
C
C
Lange
J
J
Hetzer
F H
FH
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