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Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome
A 60 year-old male was referred to the authors' hospital with a persistent urge to defecate. The patient had undergone stapled hemorrhoidopexy (SH) for the treatment of prolapsed hemorrhoids approximately 10 years earlier. He started to have difficulty with defecation and a false sense of urgen...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Society of Coloproctology
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186010/ https://www.ncbi.nlm.nih.gov/pubmed/32346647 http://dx.doi.org/10.23922/jarc.2019-024 |
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author | Maejima, Taku Kono, Toru Fukahori, Susumu Yoshikawa, Daitaro Karasaki, Hidenori Araki, Yasumi Ohta, Tomoyuki Nagashima, Kazuo |
author_facet | Maejima, Taku Kono, Toru Fukahori, Susumu Yoshikawa, Daitaro Karasaki, Hidenori Araki, Yasumi Ohta, Tomoyuki Nagashima, Kazuo |
author_sort | Maejima, Taku |
collection | PubMed |
description | A 60 year-old male was referred to the authors' hospital with a persistent urge to defecate. The patient had undergone stapled hemorrhoidopexy (SH) for the treatment of prolapsed hemorrhoids approximately 10 years earlier. He started to have difficulty with defecation and a false sense of urgency shortly after the surgery. Computed tomography showed a diverticulum-like fistula along the circumference of the rectum. Colonoscopy revealed communication between the diverticular cavity and the rectal lumen. The cavity contained a thumbnail-sized fecalith. When the fecalith was removed, the patient's urge to defecate dissipated. The patient was diagnosed with rectal pocket syndrome secondary to SH. The lower rectum was transected, and the remaining rectum and the anal canal were anastomosed by manual suture. Temporary ileostomy with double orifices was performed. The ileostomy was closed 3 months later. The patient experienced no subsequent difficulty with defecation or urgency. |
format | Online Article Text |
id | pubmed-7186010 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japan Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-71860102020-04-29 Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome Maejima, Taku Kono, Toru Fukahori, Susumu Yoshikawa, Daitaro Karasaki, Hidenori Araki, Yasumi Ohta, Tomoyuki Nagashima, Kazuo J Anus Rectum Colon Case Report A 60 year-old male was referred to the authors' hospital with a persistent urge to defecate. The patient had undergone stapled hemorrhoidopexy (SH) for the treatment of prolapsed hemorrhoids approximately 10 years earlier. He started to have difficulty with defecation and a false sense of urgency shortly after the surgery. Computed tomography showed a diverticulum-like fistula along the circumference of the rectum. Colonoscopy revealed communication between the diverticular cavity and the rectal lumen. The cavity contained a thumbnail-sized fecalith. When the fecalith was removed, the patient's urge to defecate dissipated. The patient was diagnosed with rectal pocket syndrome secondary to SH. The lower rectum was transected, and the remaining rectum and the anal canal were anastomosed by manual suture. Temporary ileostomy with double orifices was performed. The ileostomy was closed 3 months later. The patient experienced no subsequent difficulty with defecation or urgency. The Japan Society of Coloproctology 2020-04-28 /pmc/articles/PMC7186010/ /pubmed/32346647 http://dx.doi.org/10.23922/jarc.2019-024 Text en Copyright © 2020 by The Japan Society of Coloproctology https://creativecommons.org/licenses/by-nc-nd/4.0/ Journal of the Anus, Rectum and Colon is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Maejima, Taku Kono, Toru Fukahori, Susumu Yoshikawa, Daitaro Karasaki, Hidenori Araki, Yasumi Ohta, Tomoyuki Nagashima, Kazuo Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title | Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title_full | Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title_fullStr | Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title_full_unstemmed | Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title_short | Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome |
title_sort | evacuatory dysfunction after stapled hemorrhoidopexy: a case report of rectal pocket syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186010/ https://www.ncbi.nlm.nih.gov/pubmed/32346647 http://dx.doi.org/10.23922/jarc.2019-024 |
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