Di Lena M, Angarano E, Giannini I, Guglielmi A, Altomare DF. Strangulated ileal trans-coloanal-anastomotic hernia: A complication of Altemeier’s procedure previously never reported. World J Gastroenterol 2013; 19(5): 776-777 [PMID: 23431119 DOI: 10.3748/wjg.v19.i5.776]
Corresponding Author of This Article
Altomare Donato Francesco, MD, Department of Emergency and Organ Transplantation, University “Aldo Moro”of Bari, Policlinico, piazza G Cesare 11, 70124 Bari, Italy. donatofrancesco.altomare@uniba.it
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
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World J Gastroenterol. Feb 7, 2013; 19(5): 776-777 Published online Feb 7, 2013. doi: 10.3748/wjg.v19.i5.776
Strangulated ileal trans-coloanal-anastomotic hernia: A complication of Altemeier’s procedure previously never reported
Maria Di Lena, Emanuele Angarano, Ivana Giannini, Altomarino Guglielmi, Donato Francesco Altomare
Maria Di Lena, Emanuele Angarano, Ivana Giannini, Altomarino Guglielmi, Donato Francesco Altomare, Department of Emergency and Organ Transplantation, University “Aldo Moro” of Bari, 70124 Bari, Italy
Author contributions: Di Lena M gave substantial contribution to conception and design of the data, draft the paper and approved the version to be published; Angarano E gave substantial contribution to conception and acquisition of the data, revised the paper and approved the version to be published; Giannini I substantial contribution to analysis and interpretation of the data and approved the version to be published; Guglielmi A revised the paper for important intellectual content and approved the version to be published; Altomare DF draft and revised the article for important intellectual content and approved the version to be published.
Correspondence to: Altomare Donato Francesco, MD, Department of Emergency and Organ Transplantation, University “Aldo Moro”of Bari, Policlinico, piazza G Cesare 11, 70124 Bari, Italy. donatofrancesco.altomare@uniba.it
Telephone: +39-80-5478735 Fax: +39-80-5592107
Received: October 17, 2012 Revised: November 12, 2012 Accepted: November 24, 2012 Published online: February 7, 2013 Processing time: 111 Days and 20.2 Hours
Abstract
A postoperative complication after Altemeier operation, so far never reported, is described in a 42 years old mentally disabled patient with external full thickness rectal prolapse who usually had prolonged straining at defecation. After 6 d from perineal rectosigmoidectomy, the patient, was discharged free of complications. Four days later he was readmitted in emergency for strangulated perineal trans-anastomotic ileal hernia that occurred at home during efforts to defecate. The clinical feature required an emergency operation for repositioning the ileal loops into the abdomen, resection of the necrotic ileum, and end colostomy. The outcome of the second operation was free of complication and the patient was discharged on the 6th postoperative day. In conclusion, after Altemeier operation prolonged straining at defecation should be carefully avoided
