Related Experiment Video
Updated: Aug 13, 2026
12:45
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Isolated rectal diverticulum complicating with rectal prolapse and outlet obstruction: case report
Chuang-Wei Chen1, Shu-Wen Jao, Huang-Jen Lai
1Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, No. 325, Cheng-Gong Road, Section 2, Taipei, Taiwan, China.
World Journal of Gastroenterology
|January 27, 2006
Summary
Rectal diverticula are rare, with symptomatic cases even rarer. Delorme's procedure successfully treated an isolated rectal diverticulum complicated by rectal prolapse and outlet obstruction.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Rectal diverticula are uncommon, with symptomatic presentations being exceptionally rare.
- Management options for complicated rectal diverticula range from conservative measures to surgical intervention.
Observation:
- This report details a unique case of an isolated rectal diverticulum.
- The diverticulum was complicated by concurrent rectal prolapse and outlet obstruction.
Findings:
- Delorme's procedure was performed for the combined condition.
- The surgical intervention led to symptom resolution and diverticulum disappearance.
Implications:
- Delorme's procedure offers a minimally invasive surgical option for complex rectal diverticula.
- This case highlights a successful approach to a rare gastrointestinal condition.
Related Concept Videos
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...