Singh Saurabh, Savage Louis
Department of General and Colorectal Surgery, Barnet and Chase Farm Hospitals NHS Trust, London, UK.
BMJ Case Rep. 2014 Jul 8;2014:bcr2013201888. doi: 10.1136/bcr-2013-201888.
We present the case of a 77-year-old woman who initially presented 13 years ago to a colorectal clinic with a change in bowel habit and bleeding per rectum over 7 months. These symptoms were attributed to a tubulovillous rectal adenoma which was excised transanally, but recurred five times in 12 years. The most recent endoscopy showed recurrence of the rectal adenoma and a new rectal diverticulum. Diverticula in the rectum are rare and only a few reports of this condition exist in the literature. Repeated surgical resections and endoscopic polypectomies may have caused a weakness in the rectal wall and led to a pseudodiverticulum.
我们报告了一例77岁女性的病例，该患者13年前首次因排便习惯改变和直肠出血7个月就诊于结直肠诊所。这些症状归因于经肛门切除的管状绒毛状直肠腺瘤，但在12年内复发了5次。最近的内镜检查显示直肠腺瘤复发，并出现了一个新的直肠憩室。直肠憩室很少见，文献中仅有少数关于这种情况的报道。反复的手术切除和内镜下息肉切除术可能导致直肠壁薄弱，进而形成假性憩室。
