Iatrogenic Rectal Diverticulum With Pelvic-Floor Dysfunction in Patients After a Procedure for a Prolapsed Hemorrhoid
Annals of Coloproctology
;
: 50-53, 2014.
Article
in English
| WPRIM
| ID: wpr-174234
ABSTRACT
Diverticula are frequently seen in the sigmoid, descending, ascending and transverse colons whereas rectal diverticula are extremely rare. The stapled rectal mucosectomy for the treatment of a prolapsed hemorrhoid is less painful and has lower morbidity; therefore, it has been commonly used despite possible complications. This paper reports a case of a rectal diverticulum that developed after a procedure for prolapsed hemorrhoids (PPH). A 42-year-old man with a history of hemorrhoidectomies came to the hospital because of constipation. On sigmoidoscopy, a 2-cm-sized, feces-filled pocket was located just above the anorectal junction. After removal of the fecal material, a huge rectal diverticulum (-4 cm in diameter) was seen. Pelvic magnetic resonance imaging (MRI) confirmed the diagnosis of rectal diverticulum outpouching through the muscular layer of the intestine in a left posterolateral direction. The patient was discharged without complication after a transanal diverticulectomy had been performed, and the direct rectal wall had been repaired.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Colon, Sigmoid
/
Magnetic Resonance Imaging
/
Sigmoidoscopy
/
Diverticulum
/
Constipation
/
Colon, Transverse
/
Diagnosis
/
Hemorrhoidectomy
/
Hemorrhoids
/
Intestines
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2014
Type:
Article
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