LAUSR

A 53-year-old woman with obstructed defecation syndrome had an internal Delorme procedure for occult rectal prolapse and rectocele [1–5]. The procedure was uneventfull. The patient’s postoperative course was complicated by fever and abdominal tenderness with an increased white blood cell count and C-reactive protein level. An abdominal computed tomography scan revealed perirectal inflammation with air bubbles and retropneumoperitoneum. In the absence of peritonitis, the patient was put on broadspectrum antibiotic therapy and parenteral nutrition with progressive improvement in her general condition. She was discharged on day 20. Clinical follow-up at 3 and 6 months was negative (Figs. 1, 2, 3, 4, 5).