Mesh invasion of the rectum: an unusual late complication of rectal prolapse repair

International Journal of Colorectal Disease
Erdal KaragulleGokhan Moray

Abstract

Various surgical techniques have been described for repair of rectal prolapse; however, there is no agreement on a standard treatment method. In the Ripstein procedure, the rectum is fixed to the sacrum with a piece of mesh material. We describe the case of a patient who had undergone a Ripstein procedure to address rectal prolapse 6 years before admission to our clinic. His complaints were anal discomfort, abdominal discomfort, and tenesmus of 2 years duration. Rectoscopy and abdominal computed tomography (CT) revealed that the mesh had penetrated the rectal wall and was located within the rectal lumen 7-8 cm from the anal verge. Once the mesh was endoscopically, and the patient's symptoms resolved completely. Various complications of mesh implantation for rectal prolapse repair have been documented, but rectal wall penetration has not been reported to date. This report presents our case of this unusual complication and reviews the relevant literature.

References

Dec 31, 1998·International Journal of Colorectal Disease·M PescatoriM Zoffoli
May 14, 2003·Archives of Surgery·Brian P WatkinsPamela Lambert
Jan 1, 1965·Diseases of the Colon and Rectum·C B RIPSTEIN
Mar 9, 2004·Langenbeck's Archives of Surgery·T H K SchiedeckH-P Bruch
May 4, 2004·Obstetrics and Gynecology·Stuart R Hart, Edward B Weiser

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Citations

Feb 11, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P K GargV Agrawal
Jun 7, 2013·Journal of Surgical Technique and Case Report·Adedayo O Tade, Adetola O Olatunji
Jul 7, 2009·Current Problems in Surgery·James S Wu
Jun 30, 2015·International Journal of Surgery·Nilesh Sadashiv PatilKunal Parasar
Jan 24, 2015·The Indian Journal of Surgery·N Shastri-Hurst, D R McArthur
May 27, 2017·Asian Journal of Endoscopic Surgery·George Pei Cheung Yang

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