European Surgery

, Volume 50, Issue 2, pp 65–67 | Cite as

Sequestration mucoceles presenting as rectal tumors following stapled hemorrhoidectomy

  • Yeqian Huang
  • Assad Zahid
  • Christopher J. Young
case report



Gastrointestinal tract mucoceles rarely occur after stapled anastomoses. Their presentation can be incidental and mimic anastomotic tumors.

Case reports

Two males, both of whom had undergone Milligan–Morgan excisional hemorrhoidectomy (EH) 15 and 12 years prior to stapled hemorrhoidectomy (SH), presented 12 and 10 years after SH, respectively, with incidentally found low rectal tumors. Both patients were assessed by the surgeon who performed the SH, and after examination and investigation, they were found to have sequestration mucoceles which were drained and observed respectively, with no further long-term problems.


These two cases illustrate the potential for development of sequestration mucoceles post-SH, both unique and uncommon, and serve to remind us of the benefits of a thorough medical and surgical history, and the extended range of differential diagnoses for rectal tumors in the era of extensive use of surgical staples.


Cyst Non-neoplastic Digital rectal examination Rectal diseases Hemorrhoids 


Compliance with ethical guidelines

Conflict of interest

Y. Huang , A. Zahid, and C.J. Young declare that they have no competing interests.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors. Consent was obtained from all patients identifiable from images or other information within the manuscript.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  • Yeqian Huang
    • 1
  • Assad Zahid
    • 1
    • 2
  • Christopher J. Young
    • 1
    • 2
    • 3
  1. 1.Department of Colorectal SurgeryRoyal Prince Alfred HospitalCamperdownAustralia
  2. 2.Discipline of Surgery, Sydney Medical SchoolThe University of SydneySydneyAustralia
  3. 3.RPAH Medical CentreNewtownAustralia

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