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[Rectal pocket syndrome after stapled haemorrhoidopexy]

Patrick Folie, Katja Wolff, Lukas Marti, Christian Fretz, J Lange & F H Hetzer

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.
   
citation Folie P, Wolff K, Marti L, Fretz C, Lange J, Hetzer F H. [Rectal pocket syndrome after stapled haemorrhoidopexy]. Chirurg 2010; 81:61-3.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 1-2010
journal title Chirurg (81/1)
ISSN electronic 1433-0385
pages 61-3
PubMed 19585086
DOI 10.1007/s00104-009-1762-4