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Case Reports
. 2016 Dec;20(12):2102-2103.
doi: 10.1007/s11605-016-3190-3. Epub 2016 Jul 6.

Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse

Ricardo Baldonedo Cernuda  1 , Janet Pagnozzi Ángel  2 , Nuria Truan Fernández  3 , José Herminio Sánchez-Farpón  3 , Jose Antonio Álvarez Pérez  3
Affiliations
Case Reports

Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse

Ricardo Baldonedo Cernuda et al. J Gastrointest Surg. 2016 Dec.

Abstract

Incarceration of a rectal prolapse is an unusual entity that represents a surgical emergency. Even more rarely, it becomes strangulated, requiring emergency surgery. When surgery becomes inevitable, the choice of procedure varies. A 57-year-old man who presented with strangulated rectal prolapse is described. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy. The postoperative course was uneventful. After a 6-month follow-up, there was no recurrence, but the patient continued with fecal incontinence. This case underlines the importance of the Altemeier procedure as treatment in the patient with a strangulated prolapsed rectal segment.

Keywords: Altemeier procedure; Incarceration; Perineal rectosigmoidectomy; Rectal prolapse.

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