Published in:
Open Access 01-12-2022 | Hemorrhoids | Research
Mucocele: a rare complication following stapled haemorrhoidopexy
Published in: BMC Surgery | Issue 1/2022
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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.