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Case Reports
. 2010 Jun 7;16(21):2689-91.
doi: 10.3748/wjg.v16.i21.2689.

Perineal rectosigmoidectomy for gangrenous rectal prolapse

Ioannis Voulimeneas  1 , Constantine Antonopoulos, Evangelos Alifierakis, Pavlos Ioannides
Affiliations
Case Reports

Perineal rectosigmoidectomy for gangrenous rectal prolapse

Ioannis Voulimeneas et al. World J Gastroenterol. .

Abstract

Incarceration rarely complicates the chronically progressive form of the full thickness rectal prolapse. Even more rarely, it becomes strangulated, necessitating emergency surgery. We describe an extremely rare case of incarcerated acute rectal prolapse, without a relevant previous history or symptoms of predisposing pathology. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy. The postoperative course was quite uneventful with an excellent final result after colostomy closure. The successful treatment of this patient illustrates the value of the Altemeier procedure in the difficult and unusual case scenario of bowel incarceration.

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Figures

Figure 1
Figure 1
Patient with a large, incarcerated rectal prolapse in the operating room.
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References

    1. Wu JS. Rectal prolapse: a historical perspective. Curr Probl Surg. 2009;46:602–716. - PubMed
    1. Felt-Bersma RJ, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome. Gastroenterol Clin North Am. 2001;30:199–222. - PubMed
    1. Womack NR, Williams NS, Holmfield JH, Morrison JF. Pressure and prolapse--the cause of solitary rectal ulceration. Gut. 1987;28:1228–1233. - PMC - PubMed
    1. Keighley MRB, Williams NS. Rectal prolapse. In: Keighley MRB, Williams NS, editors. Surgery of the anus, rectum and colon. Volume 1. 3rd edition. Philadelphia: Saunders Elsevier; 2008. pp. 779–827.
    1. Ramanujam PS, Venkatesh KS. Management of acute incarcerated rectal prolapse. Dis Colon Rectum. 1992;35:1154–1156. - PubMed

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