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Coronal computed tomography scan, showing focal disruption of the rectum (white arrow).
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Abdominopelvic computed tomography revealed rectal perforation due to stapled hemorrhoidopexy dehiscence (Fig. 1).
Laparoscopic primary repair was performed successfully at the rectal perforation site.
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Trendelenburg position and reverse position, the dehiscence was detected and sutured with the V-Loc absorbable wound closure device (Covidien, Minneapolis, MN, USA) (Fig. 2). The needle of the V-Loc unrolled to form a J-shape for the 5-mm trocar.