Diagnosis and Management of Rectosigmoid Perforations

Abstract

Rectosigmoid colon, starting from the descending colon to the anus, having the peritoneal and retroperitoneal parts, is provided through the superior mesenteric artery and the inferior mesenteric artery. Many etiological reasons may be responsible for the perforation of the rectosigmoid colon, which may be usually perforated due to causes of iatrogenic and traumatic origins. The rectosigmoid perforations, which can be diagnosed preoperatively through examination, laboratory, and radiological examinations, may not be detected even in the intraoperative period sometimes. In its treatment, applications, such as conservative approaches, endoclip, laparoscopy, and open surgery, can be performed.

Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation

“…No clinical symptoms are observed in small extraperitoneal perforations, but severe clinical symptoms can be noticed in large intraperitoneal perforations. [ 14 ] Additionally, the risk of discitis, one of the prominent disadvantages of the transsacrococcygeal approach, may be increased due to fecal contamination of the needle after rectal perforation. Furthermore, since the rectal perforation in this patient was probably of small size and was located extraperitoneally, this patient had no clinical symptoms during follow-up, and no additional treatment was required.…”

Perirectal Abscess and Fistula Secondary to a Fecalith in Rectal Pouch Occurring 51 Years After Duhamel Operation for Hirschsprung’s Disease: Minimally Invasive Treatment

“…These minimally invasive closure techniques have revolutionized the management of GI defects, providing a more affordable alternative to surgery with less morbidity and resource utilization. However, the real debate is what treatment will be applied to whom [10,11].…”