Endoscopy ligation by the „loop and let go“ technique as a treatment of rectal syndrome caused by a rectal lipoma

Česká verze

Authors: Baťková B. ¹; Maceček J. ¹; Staňka B. ¹; Stašek M. ²; Černoch J. ¹
Authors place of work: Gastroenterologické oddělení, Nemocnice Prostějov, Středomoravská nemocniční, a. s. ¹; I. chirurgická klinika LF UP a FN Olomouc ²
Published in the journal: Gastroent Hepatol 2018; 72(6): 534-537
Category: Digestivní endoskopie: kazuistika
doi: https://doi.org/10.14735/amgh2018534

Summary

Rectal syndrome is a condition characterized by frequent compulsive or painful defecation and is often associated with a small amount of blood in stool or mucus. Symptoms usually appear slowly, depending on the cause of the problem. It often takes weeks to months for the patient to seek medical attention. Differential diagnosis of rectal syndrome encompasses both functional disorders and morphologically defined conditions including a wide range of anorectal dysfunctions. Diagnosis is often a multidisciplinary and an impotent role is played by endoscopic methods. This case report describes a case of rectal syndrome caused by a lipoma in the anorectal area, which was diagnosed by colonoscopy and treated by the „loop and let go“ ligation technique. A scar after ligation of the lipoma was observed at 6 weeks and the patient‘s symptoms completely disappeared. Rectal lipoma is less common in structural pathology, which may be the cause of rectal syndrome, even if the lesion is relatively small. Endoscopic therapy is a safe, less burdensome first therapeutical choice, and has the advantage of outpatient treatment with minimal adverse events. The alternative to endoscopic treatment of unsolvable lesions is surgery.

Key words:

anorectal dysfunction – rectal syndrome – lipoma

Submitted: 11. 9. 2018

Accepted: 10. 10. 2018

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