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

  • G. Sciaudone
  • C. Di Stazio
  • I. Guadagni
  • F. Selvaggi
Case Report

DOI: 10.1007/s10151-008-0389-z

Cite this article as:
Sciaudone, G., Di Stazio, C., Guadagni, I. et al. Tech Coloproctol (2008) 12: 61. doi:10.1007/s10151-008-0389-z

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.

Key words

Obstructed defecationSTARRRectoceleRectal diverticulum

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • G. Sciaudone
    • 1
  • C. Di Stazio
    • 1
  • I. Guadagni
    • 1
  • F. Selvaggi
    • 1
  1. 1.First Division of General SurgerySecond University of Naples PoliclinicoNaplesItaly