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Case Reports in Surgery
Volume 2016 (2016), Article ID 3298048, 4 pages
http://dx.doi.org/10.1155/2016/3298048
Case Report

A Case Report of Acute Diverticulitis in “Pseudodiverticulosis” after Hemorpex System® Procedure

Surgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genova, Italy

Received 6 September 2016; Accepted 24 October 2016

Academic Editor: Paola De Nardi

Copyright © 2016 Tommaso Testa and Federico Costanzo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. In the last years many mini-invasive approaches were developed in order to reduce postoperative pain and complication after haemorrhoid surgery: one of these alternatives is represented by Hemorpex System, a relatively young technique that combines transanal dearterialization with mucopexy through a dedicated proctoscope. Case Presentation. A 78-year-old male patient was admitted to the Emergency Department for acute urinary retention and elevated temperature. Hemorpex procedure was performed 4 years before. Clinical, endoscopic, and radiological findings demonstrated the presence of multiple diverticula-like structures fulfilled by purulent fluid and a deep alteration of the normal anatomy of the rectum. He was treated following the standard protocol of acute diverticulitis and full recovery from symptoms was achieved. Discussion. Hemorpex System is a young technique, and nowadays-available studies lack long-term follow-up data. Anatomical changes induced by the procedure are consistent and definitive. Our patient luckily demonstrated a prompt response to conservative treatment, but it must be taken into account that, in case of medical treatment failure, surgical approach would be necessary and the actual patient anatomical changes could lead the surgeon to unavoidable threatening maneuvers.