{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T13:46:02Z","timestamp":1764855962150,"version":"3.46.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Anorectal manometry (ARM) is a valuable diagnostic modality for evaluating anorectal disorders. While rare, complications can occur including rectal perforation. We report a case of iatrogenic rectal perforation following ARM in a 77-year-old female with multiple prior rectal prolapse surgeries who was receiving chronic anticoagulation therapy. The patient developed rectal bleeding immediately post-procedure with subsequent imaging demonstrating retroperitoneal and mediastinal air. Flexible sigmoidoscopy revealed a 30% circumference rectal wall defect. Despite the extensive injury, the patient was hemodynamically stable without peritonitis. Conservative management consisting of bowel rest, broad-spectrum antibiotics resulted in complete resolution. Serial endoscopic evaluation confirmed full mucosal healing. This case demonstrates the importance of individualized procedural risk assessment in patients with prior anorectal surgery and underscores the feasibility of conservative management in stable cases of ARM-related rectal perforation.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf851","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:12:01Z","timestamp":1762521121000},"source":"Crossref","is-referenced-by-count":0,"title":["Colorectal perforation following anorectal manometry in a patient with anal stenosis post rectal prolapse repair: a rare complication"],"prefix":"10.1093","volume":"2025","author":[{"given":"Leanne","family":"Iorio","sequence":"first","affiliation":[{"name":"Orlando Health Colon and Rectal Institute , 110 W Underwood St # A, Orlando, FL 32806 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique Couto","family":"Matos","sequence":"additional","affiliation":[{"name":"Colon and Rectal Surgery, Orlando Health Orlando Regional Medical Center , 110 W Underwood St, Orlando, FL 32806 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Linkous","sequence":"additional","affiliation":[{"name":"Florida State University College of Medicine , 1115 West Call Street, Tallahassee, FL 32306 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Orlando Health Colon and Rectal Institute , 110 W Underwood St # A, Orlando, FL 32806 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-5304","authenticated-orcid":false,"given":"Antonio","family":"Caycedo","sequence":"additional","affiliation":[{"name":"Orlando Health Colon and Rectal Institute , 110 W Underwood St # A, Orlando, FL 32806 ,","place":["United States"]},{"name":"General Surgery, University of Central Florida , 3400 Quadrangle Blvd, Orlando, FL 32817 ,","place":["United States"]},{"name":"Colon and Rectal Surgery, Queen\u2019s University , Etherington Building Room 202, 165 Barrie Street, K7L 2Z4, Kingston, ON ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"2025120408435543500_ref1","doi-asserted-by":"publisher","first-page":"e14335","DOI":"10.1111\/nmo.14335","article-title":"Review of the indications, methods, and clinical utility of anorectal manometry and the rectal balloon expulsion test","volume":"34","author":"Bharucha","year":"2022","journal-title":"Neurogastroenterol Motil"},{"key":"2025120408435543500_ref2","doi-asserted-by":"publisher","first-page":"146","DOI":"10.3393\/ac.2017.33.4.146","article-title":"Colorectal perforation after anorectal manometry for low anterior resection 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