Solitary rectal diverticulum: A case report

Abstract

Rectal diverticulas are very rare and most of patients with rectal diverticula are diagnosed incidentally. Inflammatory processes may have developed at the time of the diagnosis. Here we report a case of rectal diverticulum which was developed after stapled transanal rectal resection procedure. Abdominal magnetic resonance imaging revealed a giant diverticulum of the rectum. A fecaloma is removed from rectum endoscopically. J Clin Exp Invest 2013; 4 (4): 506-508

Keywords

• Magnetic resonance imaging, rectal diverticulum, stapled hemorrhoidopexy

Soliter rektal divertikül: Olgu sunumu

Öz

Rektal divertiküller çok nadirdir. Hastaların tanısı çoğunlukta tesadüfen ve inflamatuar bir süreci takiben konur. Çalışmada; Stapler ile transanal rezeksiyon sonrası rektal divertikül gelişen bir hasta taktim ettik. Abdominal Manyetik Rezonans görüntüleme'de rektumda büyük bir divertikül tespit edildi. Yapılan rektosigmoidoskopide; rektumda dar bir ağzı olan ve fekaloidle dolu rektal divertikül tespit edildi. Endoskop eşliğinde, tespit edilen fekalom parçalanarak rektumdan dışarıya alındı.

Anahtar Kelimeler

• Manyetik rezonans görüntüleme, rektal divertikül, stapled hemoroidektomi

Kaynakça

1. Place RJ, Simmang CL. Diverticular disease. Best Pract Res Clin Gastroenterol 2002;16:135-148.
2. Young-Fadoc TM, Roberts PL, Spencer MP, Wolf BG. Colonic diverticular disease. Curr Probl Surg 2000;37:457-514.
3. Jung SH, Kim JH. A case of solitary rectal diverticu- lum presenting with a retrorectal mass Gut Liver 2010;4:394-397.
4. Athar A, Chawla T, Turab P. Stapled hemorrhoidopexy. The Aga Khan University Hospital experience. Saudi J Gastroenterol 2009;15:163-166.
5. Alabiso ME, Grassi R, Fioroni C, Marano I. Iatrogenic rectal diverticulum in patients treated with transanal stapled techniques. Radiol Med 2008;113:887–894.
6. Chen CW, Jao SW, Lai HJ, et al. Isolated rectal di- verticulum complicating with rectal prolapse and out- let obstruction: case report. World J Gastroenterol 2005;11:7697-7699.
7. Piercy KT, Timaran C, Akin H. Rectal diverticula: report of a case and review of the literature. Dis Colon Rec- tum 2002;45:1116-1117.
8. Weston SD, Schlachter IS.Diverticulum of the rectum. Dis Colon Rectum 1959;2:458-464.

9. Damron JR, Lieber A, Simmons T. Rectal diverticula. Radiology 1975;115:599-601.
10. Plavsic BM, Raider L, Drnovsek VH, Kogutt MS. As- sociation of rectal diverticula and scleroderma. Acta Radiol 1995;36:96-99.
11. Martel W, Chang SF, Abell MR. Loss of colonic haus- tration in progressive systemic sclerosis. Am J Roent- genol 1976;126:704.
12. Edwards VH, Chen MY, Ott DJ,King GT. Rectal di- verticulum appearing as a prolapsed rectum. J Clin Gastroenterol 1994;18:254-255.
13. Damin DC, Rosito MA, Tarta C, Contu PC.Giant rec- tal diverticulum presenting as an ischioanal abscess. Tech Coloproctol 2005;9:249-250.
14. Nay HR, Blair CR. Perineal surgical repair of rectal prolapse. Am J Surg 1972;123: 577-579.