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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.
See this image and copyright information in PMC

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