{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T20:31:19Z","timestamp":1757622679824,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,2]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>This case report concerns a male patient in early adolescence who presented to our clinic with several months of abdominal discomfort, irregular bowel habits, tenesmus and a sensation of incomplete evacuation. Previous treatment was through osmotic laxatives. Initial workup of physical examination and endoscopy was inconclusive and did not show any anatomical abnormalities. A defecography study was performed and revealed a large enterocele with rectorectal intussusception and a small anterior rectocele. The patient elected to proceed with a robotic-assisted rectopexy with obliteration of the anterior cul-de-sac. His recovery was without complications, and he experienced a complete resolution of his symptoms by 3\u2009months postoperatively. While enterocele is well documented in postmenopausal women, its presentation in the demographic of young male patients is exceedingly rare. In presenting this case, we aim to raise awareness of the potential for enterocele in young male patients and illustrate its successful treatment through robotic surgical intervention.<\/jats:p>","DOI":"10.1136\/bcr-2025-265187","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T17:25:25Z","timestamp":1757352325000},"page":"e265187","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Symptomatic enterocele in an adolescent male: successful robotic repair"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9821-1659","authenticated-orcid":false,"given":"Jared T","family":"Yee","sequence":"first","affiliation":[{"name":"Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0491-6641","authenticated-orcid":false,"given":"Nathan S","family":"Kau","sequence":"additional","affiliation":[{"name":"Oncology, Washington University in St Louis School of Medicine, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Edward","family":"Wise","sequence":"additional","affiliation":[{"name":"Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"2025090810201967000_18.9.e265187.1","first-page":"220","article-title":"A rare case of enterocele in a male patient treated with posterior suture rectopexy and peritoneoplasty","volume":"75","author":"Asai","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2025090810201967000_18.9.e265187.2","first-page":"53","article-title":"Laparoscopic repair of a giant enterocele causing outlet obstruction in an adolescent male","volume":"36","author":"Schober","year":"2018","journal-title":"J Pediatr Surg Case Rep"},{"key":"2025090810201967000_18.9.e265187.3","first-page":"1702","article-title":"Enterocele causing obstructive defecation in a boy","volume":"32","author":"Wester","year":"1997","journal-title":"J Pediatr Surg"},{"key":"2025090810201967000_18.9.e265187.4","first-page":"54","article-title":"Enterocele associated with rectal prolapse: Evaluation with evacuation proctography and surgical treatment","volume":"49","author":"Takahashi","year":"2006","journal-title":"Dis Colon Rectum"},{"key":"2025090810201967000_18.9.e265187.5","first-page":"29","article-title":"Vaginal vault suspension and enterocele repair by Richardson-Saye laparoscopic technique: description of training technique and results","volume":"5","author":"Carter","year":"2001","journal-title":"JSLS"},{"key":"2025090810201967000_18.9.e265187.6","first-page":"714","article-title":"Complex enteroceles: A multidisciplinary approach to a rare problem","volume":"23","author":"Patel","year":"2021","journal-title":"Colorectal Dis"},{"key":"2025090810201967000_18.9.e265187.7","first-page":"1126","article-title":"Clinical presentation and outcome of spontaneous transanal small bowel evisceration","volume":"45","author":"Pinta","year":"2002","journal-title":"Dis Colon Rectum"},{"key":"2025090810201967000_18.9.e265187.8","first-page":"963","article-title":"Ambulatory laparoscopic anterior rectopexy for full-thickness rectal prolapse and associated hedrocele in a male patient","volume":"21","author":"Faucheron","year":"2017","journal-title":"Tech Coloproctol"},{"key":"2025090810201967000_18.9.e265187.9","first-page":"231","article-title":"Combined laparoscopic repair of enterocele and transanal stapled excision for internal rectal prolapse","volume":"14","author":"Carriero","year":"2010","journal-title":"Tech Coloproctol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T17:25:25Z","timestamp":1757352325000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":9,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,8]]},"published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1136\/bcr-2025-265187"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265187","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}