The effective and maintained decompression of pseudo-obstruction using the novel approach of a Heald anal stent is described. The Heald stent was placed trans-anally without the need for an anaesthetic, reducing luminal pressure allowing both initial decompression and maintenance of decompression of the rectum. This allowed the patient with significant medical co-morbidities to be discharged after a week without the need for operative intervention and thus reducing considerable patient risk.
