Combined endoscopic–laparoscopic treatment of a rectal pocket syndrome after sigmoid resection

Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome

“…Proctalgia and chronic prostatitis may also then occur, possibly because of bacterial translocation. Although the transanal lay-open of the pocket is effective in most cases, as in our case, massive surgery must be considered for these conditions [10]. The indications for SH should be carefully considered given the non-negligible risk of RPS.…”

“…It is conceivable that the inclusion of additional tissue in the staple line may result in formation of a "tunnel" with openings on both ends (Figure 4), which will entrap fecal matter and become a source of bacterial inflammation. The plausibility of this hypothesis is supported by recent studies reporting RPS in patients who underwent low anterior resection and other non-SH operations involving the use of a circular stapler [10].…”

“…RPS, characterized by a diverticulum-like recess that forms after SH, was first reported in 2006 and has since attracted the attention of the medical community [3,[7][8][9]. RPS has been reported not only in patients treated with SH but also in those who undergo lower anterior resection and sigmoidectomy [10,11]. RPS typically involves evacuatory difficulty caused by an enlarged diverticulum, as well as defecatory urge and chronic bacterial infection resulting from entrapped fecaliths.…”