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Rectal stump mucocele after a Hartmann’s procedure causing mechanical ileus
  1. Gregoire Longchamp1,
  2. Nicola Colucci1,2,
  3. Frederic Ris1 and
  4. Nicolas C Buchs1
  1. 1University of Geneva, Geneva University Hospitals, Geneva, Switzerland
  2. 2Department of Clinical-Surgical Diagnostic and Pediatric, University of Pavia, Pavia, Lombardia, Italy
  1. Correspondence to Dr Gregoire Longchamp; gregoire.longchamp{at}


Two years after a Hartmann’s procedure, an 85-year-old woman was admitted at our emergency department with abdominal bloating and severe constipation for 5 days. Abdominal CT showed a large rectal stump mucocele associated with compression of surrounding structures, causing a mechanical ileus and a bilateral pyelocaliceal dilatation. Successful transanal drainage with a rectal catheter allowed rapid recovery.

  • gastrointestinal surgery
  • endoscopy
  • radiology

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  • Contributors GL and NC conceived the review. All authors interpreted the data. All authors contributed to the writing of the manuscript and to its critical revision. All authors approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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