Publikation

[Rectal pocket syndrome after stapled haemorrhoidopexy]

Wissenschaftlicher Artikel/Review - 01.01.2010

Bereiche
PubMed
DOI

Zitation
Folie P, Wolff K, Marti L, Fretz C, Lange J, Hetzer F. [Rectal pocket syndrome after stapled haemorrhoidopexy]. Chirurg 2010; 81:61-3.
Art
Wissenschaftlicher Artikel/Review (Deutsch)
Zeitschrift
Chirurg 2010; 81
Veröffentlichungsdatum
01.01.2010
eISSN (Online)
1433-0385
Seiten
61-3
Kurzbeschreibung/Zielsetzung

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.