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Rectal stump mucocele after a Hartmann's procedure causing mechanical ileus
Gregoire Longchamp1, Nicola Colucci2,3, Frederic Ris2
1University of Geneva, Geneva University Hospitals, Geneva, Switzerland gregoire.longchamp@gmail.com.
BMJ Case Reports
|January 9, 2021
Summary
A rectal stump mucocele caused a bowel obstruction in an elderly woman two years after Hartmann
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Hartmann's procedure is a surgical option for various colorectal conditions.
- Rectal stump mucoceles can develop as a delayed complication after such procedures.
Observation:
- An 85-year-old female presented with severe abdominal bloating and constipation.
- Imaging revealed a large rectal stump mucocele compressing adjacent structures.
Findings:
- The mucocele caused a mechanical ileus and bilateral pyelocaliceal dilatation.
- Transanal drainage of the mucocele led to rapid clinical improvement.
Implications:
- This case highlights a rare but significant complication of Hartmann's procedure.
- Transanal drainage offers a minimally invasive treatment option for rectal stump mucoceles.
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