Iatrogenic Rectal Diverticulum With Pelvic-Floor Dysfunction in Patients After a Procedure for a Prolapsed Hemorrhoid
Annals of Coloproctology
; : 50-53, 2014.
Article
em En
| WPRIM
| ID: wpr-174234
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Colo Sigmoide
/
Imageamento por Ressonância Magnética
/
Sigmoidoscopia
/
Divertículo
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Constipação Intestinal
/
Colo Transverso
/
Diagnóstico
/
Hemorroidectomia
/
Hemorroidas
/
Intestinos
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Annals of Coloproctology
Ano de publicação:
2014
Tipo de documento:
Article