TITLE:
Perineal rectosigmoidectomy for strangled rectal prolapse: A case report
AUTHORS:
Alpha Oumar Toure, Cheikh Tidiane Diop, Fode Baba Toure, Thomas Marcel M. Wade, Gabriel Ngom
KEYWORDS:
Strangled Rectal Prolapsed; Altemeier; Rectosigmoïdectomy
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.1,
January
21,
2014
ABSTRACT: Strangled rectal prolapse, the rare disease, is a
proctological emergency. Its management is controversial. When it is not
reducible and signs of ischemia are present, the Altemeierperineal rectosigmoidectomy
remains the best treatment. This study aimed to report our experience on the
management of strangled rectal prolapse about 1 case in a 45-year-old man, a holder
of a rectal prolapse for 2 years. On admission, he had strangled prolapse for
24 hours with edema. After a vain attempt of manual reduction and installation
of necrosis after 48 hours, he had an Altemeier rectosigmo?dectomy. The
postoperative course was uneventful and the patient was discharged on the 6th
postoperative day. The results were very good, after one year follow-up.