Dynamic cystocolpoproctography to confirm the efficacy of laparoscopic rectopexy in the treatment of hedrocele associated with full-thickness rectal prolapse

Excerpt

Hedrocele literally means anal hernia (from the Greek hedros, meaning anus, and kele, meaning hernia). It is an extremely rare form of hernia with only four cases previously reported [1‐3]. Like enterocele, hedrocele is a variant of the rare posterior perineal hernias, resulting from a defect in the rectovaginal septum [3]. A peritoneal pouch containing the small bowel protrudes in the anterior wall of the rectum through the anus. Clinical presentation may be with symptoms and signs of a strangulated small bowel in the hedrocele [3]. Diagnosis can be made by dynamic cystocolpoproctography, which has been shown to be superior to MRI in this context [4]. The aim of this short report is to confirm the efficacy of laparoscopic rectopexy in the management of hedrocele after dynamic cystocolpoproctography. …