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Endoscopic incision of rectal diverticulum: A case report
Yan-Yu Qiu1, Yong Cheng1, Peng Dong1
1Chongqing Medical University, Chongqing, China.
Zeitschrift Fur Gastroenterologie
|March 16, 2022
Summary
A 70-year-old woman with rectal diverticulum experienced relief from anal symptoms and defecation difficulty after undergoing the endoscopic diverticulum incision procedure (EDIP). Follow-up confirmed the diverticulum was clear of fecal matter.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Medical Imaging
Background:
- Rectal diverticulum can cause significant patient discomfort, including anal pendant expansion and defecation difficulties.
- Symptomatic rectal diverticula require effective treatment strategies to improve quality of life.
Observation:
- A 70-year-old female patient presented with a year-long history of anal pendant expansion and difficulty defecating.
- Pelvic MRI, CT, rectal angiography, and colonoscopy confirmed the diagnosis of a rectal diverticulum.
Findings:
- The patient underwent an endoscopic diverticulum incision procedure (EDIP).
- Post-procedure follow-up at 4 months showed significant improvement in anal pendant expansion and defecation.
- Colonoscopy confirmed the absence of residual feces within the diverticulum, indicating successful treatment.
Implications:
- Endoscopic diverticulum incision procedure (EDIP) offers a minimally invasive treatment option for symptomatic rectal diverticula.
- EDIP can effectively alleviate debilitating symptoms associated with rectal diverticula, improving patient quality of life.
- This case highlights the successful application of EDIP in managing complex rectal diverticulum cases.
