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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...

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Autores principales: Maejima, Taku, Kono, Toru, Fukahori, Susumu, Yoshikawa, Daitaro, Karasaki, Hidenori, Araki, Yasumi, Ohta, Tomoyuki, Nagashima, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Society of Coloproctology 2020
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.
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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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