Liu Liancheng, Zhang Yuru, Duan Hongyan, Su Yue, Xiong Fang, Jia Shan
Department of Colorectal Surgery Department of Ultrasound, Beijing Coloproctological Hospital, Beijing Erlonglu Hospital, Beijing, China.
Medicine (Baltimore). 2018 Jun;97(22):e10792. doi: 10.1097/MD.0000000000010792.
Stapled hemorrhoidopexy is gaining popularity for prolapsing hemorrhoids. However, like any other operation, there is always the potential risk of complications. Rectal inclusion cysts are rare complications that results from the potential space in the staple line.
A 49-year-old woman was admitted to our hospital with a complaint of anorectal pain and fever complaints after stapled hemorrhoidopexy. The endoanal ultrasonography showed unclear fluid containing a cystic lesion circuit to the rectum at the staple line.
The endoanal ultrasonography strongly indicates the rectal inclusion cysts.
A full thickness excision of the cyst was carried out along the staple line. The patient had complete recovery, with no recurrence or complaints for at least 6 months after the surgery.
Endosonography has an important role in investigating symptomatic patients after stapled hemorrhoidopexy. Once an inclusion cyst is diagnosed, excision of the stapled line is the only choice of treatment.
吻合器痔上黏膜环切术在治疗脱垂性痔方面越来越受欢迎。然而，与其他任何手术一样，它始终存在并发症的潜在风险。直肠包涵囊肿是一种罕见的并发症，由吻合器缝合线处的潜在间隙引起。
一名49岁女性因吻合器痔上黏膜环切术后出现肛门直肠疼痛和发热症状而入住我院。肛管超声显示吻合器缝合线处有一个与直肠相连的含液性囊性病变，边界不清。
肛管超声强烈提示直肠包涵囊肿。
沿吻合器缝合线对囊肿进行全层切除。患者完全康复，术后至少6个月无复发或不适。
超声内镜在调查吻合器痔上黏膜环切术后出现症状的患者中具有重要作用。一旦诊断为包涵囊肿，切除吻合器缝合线是唯一的治疗选择。
