Hand-assisted laparoscopic suture rectopexy for complete rectal prolapse complicated by a solitary ulcer and obstructed defecation: a case report and review of the literature

Journal of Medical Case Reports

Edvinas Kildušis¹  Narimantas Evaldas Samalavičius¹ 

[1] Center of Oncosurgery, Institute of Oncology, Vilnius University, Santariskiu str. 1, Vilnius, LT-08660, Lithuania

关键词: Suture rectopexy.;    Hand-assisted laparoscopy;    Solitary rectal ulcer syndrome;    Rectal prolapse;   

Others  :  1181179
DOI  :  10.1186/1752-1947-7-133

 received in 2012-11-22, accepted in 2013-03-12,  发布年份 2013

【 摘 要 】

Introduction

Solitary rectal ulcer syndrome is a condition in which an ulcer occurs in the rectum. There is evidence that solitary rectal ulcer syndrome is associated with rectal prolapse either overt or occult and that stopping complete rectal prolapse may lead to rapid healing of the solitary rectal ulcer. A huge variety of operative techniques have been described in the literature to correct this condition. We present the case of a patient who underwent hand-assisted laparoscopic suture rectopexy for complete rectal prolapse complicated by a solitary ulcer and obstructed defecation.

Case presentation

A 32-year-old Caucasian woman presented to our institute complaining of having had difficulty with her bowel movements, a rectal prolapse and pain in the anal area for one and a half years. She was checked in hospital for suspected rectal carcinoma, however, the examination revealed rectal ulceration. A diagnosis of complete rectal prolapse complicated by a solitary ulcer and obstructed defecation was established. The symptoms persisted so a hand-assisted laparoscopic suture rectopexy was performed. After six months of follow-up, her bowel movements had improved, she was experiencing no pain and the rectal ulcer had healed.

Conclusion

A hand-assisted laparoscopic suture rectopexy is a feasible and safe surgical treatment of rectal prolapse with solitary rectal ulcer syndrome, providing complete recovery for patients with solitary rectal ulcer syndrome.

【 授权许可】

   
2013 Samalavicius and Kildusis; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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