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Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review. | LitMetric

AI Article Synopsis

  • Rectal prolapse (RP) is a rare condition where part or all of the rectum protrudes through the anal canal, more commonly seen in elderly females with various risk factors.
  • A unique case involved a previously healthy 39-year-old man with incarcerated RP, requiring an urgent surgical procedure (Altemeier procedure) and a later reversal of a colostomy.
  • The case emphasizes the need for surgical management in instances of incarcerated RP and highlights the absence of specific management guidelines, making decisions based on each patient's unique circumstances.

Article Abstract

Rectal prolapse (RP) is a rare condition presenting as a partial or complete protrusion of the rectum or as mucosa through the anal canal, and it usually occurs in the elderly or females with multiple risk factors. An initial presentation of incarcerated RP is even rarer. We present a case of a previously healthy 39-year-old man who presented with an incarcerated RP that necessitated urgent perineal proctosigmoidectomy (Altemeier procedure), with diverting sigmoid colostomy, followed by a reversal of the colostomy three months later. This case highlights the importance of surgical management (the modified Altemeier procedure) for a patient with an incarcerated RP. There are no specific guidelines for management of RP; all the recommendations and latest approaches are patients-based approaches according to their presentations, risk factors, age, and gender.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11596029PMC
http://dx.doi.org/10.3390/medicina60111872DOI Listing

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