AI Article Synopsis
- Incarceration of rectal prolapse is a rare surgical emergency, and in some cases, it can lead to strangulation that necessitates urgent surgery.
- A 57-year-old man with a strangulated rectal prolapse underwent an emergency perineal proctosigmoidectomy (Altemeier operation) along with a diverting loop sigmoid colostomy, and his recovery was smooth.
- Despite no recurrence of the prolapse after 6 months, the patient still experienced fecal incontinence, highlighting the effectiveness of the Altemeier procedure in such cases.
Article 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.
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| http://dx.doi.org/10.1007/s11605-016-3190-3 | DOI Listing |
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