alexa Rectal diverticulum: a new complication of STARR procedure for obstructed defecation.


Journal of Gerontology & Geriatric Research

Author(s): Sciaudone G, Di Stazio C, Guadagni I, Selvaggi F

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Abstract We report a case of rectal diverticulum developed after stapled transanal rectal resection (STARR) procedure for obstructed defecation. A 21-year-old woman with chronic constipation was diagnosed with a rectocele at defecography. The patient underwent STARR procedure. Six months later, she presented with severe constipation requiring enemas and a worse condition than that preoperatively. Defecography and rectoscopy revealed a rectal wall diverticulum cavity with incomplete elimination of barium enema. The patient underwent transanal diverticulectomy and direct rectal wall repair. STARR procedure can produce new and difficult-to-treat complications and should be reserved for expert colorectal surgeons with proved familiarity in transanal surgery. This article was published in Tech Coloproctol and referenced in Journal of Gerontology & Geriatric Research

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