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World J Gastroenterol. Jun 7, 2010; 16(21): 2689-2691
Published online Jun 7, 2010. doi: 10.3748/wjg.v16.i21.2689
Published online Jun 7, 2010. doi: 10.3748/wjg.v16.i21.2689
Perineal rectosigmoidectomy for gangrenous rectal prolapse
Ioannis Voulimeneas, Constantine Antonopoulos, Evangelos Alifierakis, Pavlos Ioannides, First Department of Surgery, General Hospital of Nikea-Pireus, Petrou Mantouvalou 3, 18454, Nikea, Greece
Author contributions: Voulimeneas I and Ioannides P contributed equally to this work; Alifierakis E and Antonopoulos C performed the research; Voulimeneas I and Ioannides P wrote the paper; Ioannides P was the attending surgeon responsible for the patient.
Correspondence to: Ioannis Voulimeneas, MD, First Department of Surgery, General Hospital of Nikea-Pireus, Petrou Mantouvalou 3, 18454, Nikea, Greece. jvoulis7@hotmail.com
Telephone: +30-210-4971477 Fax: +30-213-2076430
Received: October 27, 2009
Revised: January 22, 2010
Accepted: January 29, 2010
Published online: June 7, 2010
Revised: January 22, 2010
Accepted: January 29, 2010
Published online: June 7, 2010
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.
Keywords: Anorectal disease, Rectal prolapse, Incarceration, Perineal rectosigmoidectomy, Altemeier operation