Mucocele complicating stapled hemorrhoidopexy

Grapsi, Asia; Sturiale, Alessandro; Fabiani, Bernardina; Naldini, Gabriele

doi:10.1016/j.ijscr.2017.02.020

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…With this protracted cyst development, the amount of mucus within the mucocele increased slowly and, therefore, could be accommodated by the tissues or contained the slight occluded portion of the cystic lesion. It has been reported that the size of a mucocele may vary over time and that mucocele-related symptoms may be intermittent due to the possibility of partial drainage of the mucus inside the rectal lumen 7. In our case, the patient had not noticed any discharge of liquid from his anus.…”

Section: Discussionmentioning

confidence: 47%

“…Each of these diseases differs slightly with regard to the site of occurrence and clinical symptoms, with MRI being useful for differential diagnosis9 and transanal ultrasound necessary to confirm the diagnosis of a mucocele 7. The salient findings of a mucocele on imaging include a uniform internal cystic mass, with high T2 signal intensity and absence of internal nodules (mucous lake).…”

Section: Discussionmentioning

confidence: 99%

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Rectal mucocele in the anterior wall of the rectum

et al. 2018

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An 84-year-old man presented in 2009 with a sensation of discomfort in his anus, combined with difficulty in urination. He had previously undergone a haemorrhoidectomy in 1964. After examination, he was diagnosed with a rectal mucosal cyst and followed up for observation. In 2015, he presented to our hospital complaining that the cyst was prolapsing from his anus. CT revealed a 48×41 mm cystic mass in the anterior wall of the rectum. Tumour extirpation, via a transanal route, was performed. The postoperative pathological diagnosis confirmed a rectal mucocele. Rectal mucoceles are extremely rare, with no prior report of a mucocele in the anterior wall of the rectum. In this case, we believe the mucocele developed from an invagination of the mucous membrane or obstruction of the anal gland during suturing during the previous haemorrhoid surgery.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Rectal mucocele in the anterior wall of the rectum

et al. 2018

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“…The exclusion of anal and low rectal cancers and polyps is an important aspect of their management. Other differentials include mucocele, inflammatory bowel disease, neurofibroma, GIST, and leiomyoma [ 3 ]. Clinical findings and background of previous fistula treatment in our case led to the decision to perform an MRI scan rather than a flexible sigmoidoscopy initially.…”

Section: Discussionmentioning

confidence: 99%

Management of Rectal Wall Abscess: A Rare Case Report

Nasir,

Anwar,

Hussain

et al. 2023

Cureus

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A 34-year-old male presented with spontaneous rectal pain. He was diagnosed with a posterior rectal wall abscess 7 cm proximal to the anal verge that was confirmed on an MRI (magnetic resonance imaging) pelvis. This abscess was drained through a transrectal route. Rectal wall abscess is an exceedingly rare pathology compared to perianal abscess; therefore, this case highlights the key aspects of its management.

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“…When indicated for symptoms, surgery for RM is the treatment of choice [ 12 ]. The surgical options may include mucocele excision or often more simply, evacuation of the mucocele contents, creation of an opening of the cyst into the rectal lumen (marsupialization) with removal of extraneous staples.…”

Section: Discussionmentioning

confidence: 99%

“…In general, SH increased relative risk of haemorrhoid recurrence compared with traditional open haemorrhoidectomy [ 5 , 6 ]. The stapled approach to the haemorrhoid-bearing mucosa has resulted in a unique collection of procedural complications [ 7 – 11 ] with postoperative rectal mucocele (RM) a particularly rare example [ 12 ]. The clinical presentation by patients with a RM is typically delayed with some asymptomatic cases diagnosed as an incidental finding.…”

Section: Introductionmentioning

confidence: 99%

Mucocele: a rare complication following stapled haemorrhoidopexy

Wan

et al. 2022

BMC Surg

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Background Stapled haemorrhoidopexy (SH) has resulted in a unique collection of procedural complications with postoperative mucocele a particularly rare example. This study is designed to comprehensively describe the characteristics of rectal mucocele and discuss its pathogenesis following SH surgery. Methods A database of patients presenting with a rectal mucocele following an SH procedure was established and studied retrospectively. Results Seven patients (5 males; median age 32 years, range 20–75 years) were identified. All patients complained of variable anal discomfort with 5/7 presenting with inconstant anal pain, 2 with de novo evacuatory difficulty. These cases appeared at a median time of 6 months (range 2–84 months) after SH surgery. Conclusion Rectal Mucocele develops when mucosal fragments become embedded and isolated under the mucosa. It is a preventable complication of SH surgery by ensuring correct purse string placement prior to stapled haemorrhoid excision.

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Mucocele complicating stapled hemorrhoidopexy

Abstract: HighlightsMucocele is a variant of rectal pocket.Mucocele is a rare complication after stapled procedure.Mucocele has problems of differential diagnosis with paraectal lesion, especially abscess.It is usually treated with transanal approach.

Cited by 4 publications

References 12 publications

Rectal mucocele in the anterior wall of the rectum

Rectal mucocele in the anterior wall of the rectum

Management of Rectal Wall Abscess: A Rare Case Report

Mucocele: a rare complication following stapled haemorrhoidopexy

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