Pneumoretroperitoneum after a STARR Procedure Performed One Year after a Posterior Colporrhaphy: A Case Report and Review of the Literature

被引：0

作者：

Darwich, Ibrahim ^{[1
]}

Melekian, Badrig ^{[2
]}

Demirel-Darwich, Serpil ^{[2
]}

Willeke, Frank ^{[1
]}

机构：

[1] St Marien Hosp, Dept Surg, Kampenstr 51, DE-57072 Siegen, Germany

[2] St Marien Hosp, Dept Gynecol & Obstet, Siegen, Germany

来源：

VISCERAL MEDICINE | 2021年 / 37卷 / 05期

关键词：

Pneumoretroperitoneum; Transtar(TM); STARR; Obstructed defecation syndrome; TRANSANAL RECTAL RESECTION; OBSTRUCTED DEFECATION; PROLAPSED HEMORRHOIDS; COMPLICATIONS; RECTOCELE; SURGERY; OPERATION; STAPLER; SEPSIS;

D O I：

10.1159/000511933

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Transanal rectal resection with a stapling instrument (STARR) has been shown to be effective and safe for the treatment of obstructed defecation syndrome (ODS). Nevertheless, the wide range of complications described in the literature necessitates a rigorous patient selection and a tailored approach for the management of complications. We present here a case of pneumoretroperitoneum which occurred after a STARR procedure for ODS was performed nearly a year after previous anterior and posterior colporrhaphy. The diagnostic workup did not reveal a staple-line defect. Laparoscopy did not show any intra-abdominal pathology. The symptoms resolved under oral antibiotics. The patient was discharged on day 10 after admission. Scarring in the rectovaginal septum from a colporrhaphy 1 year earlier might have contributed to a suboptimal staple-line closure during the STARR procedure, leading to a pneumoretroperitoneum. We discuss this complication and provide a brief review of the literature.

引用

页码：443 / 446

页数：4

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