Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2021; 9(4): 847-853
Published online Feb 6, 2021. doi: 10.12998/wjcc.v9.i4.847
Altemeier perineal rectosigmoidectomy with indocyanine green fluorescence imaging for a female adolescent with complete rectal prolapse: A case report
Tetsu Yamamoto, Ryoji Hyakudomi, Kiyoe Takai, Takahito Taniura, Yuki Uchida, Kazunari Ishitobi, Noriyuki Hirahara, Yoshitsugu Tajima
Tetsu Yamamoto, Ryoji Hyakudomi, Kiyoe Takai, Takahito Taniura, Yuki Uchida, Kazunari Ishitobi, Noriyuki Hirahara, Yoshitsugu Tajima, Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, Japan
Author contributions: Yamamoto T, Hyakudomi R, Takai K and Taniura T were the patient’s surgeons, reviewed the literature and contributed to manuscript drafting; Uchida Y, Ishitobi K, Hirahara N and Tajima Y reviewed the literature and contributed to manuscript drafting; all authors contributed equally to the conception, design, critical revision, and editing of this paper, and approved the final version of this study.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tetsu Yamamoto, MD, PhD, Assistant Lecturer, Department of Digestive and General Surgery, Shimane University Faculty of Medicine, 89-1 Enya, Izumo 693-8501, Shimane, Japan. t2t2@med.shimane-u.ac.jp
Received: October 19, 2020
Peer-review started: October 19, 2020
First decision: December 3, 2020
Revised: December 17, 2020
Accepted: December 26, 2020
Article in press: December 26, 2020
Published online: February 6, 2021
Core Tip

Core Tip: Rectal prolapse mainly occurs in elderly women and is rare in young women. Perineal approaches, including perineal rectosigmoidectomy (Altemeier perineal rectosigmoidectomy), are useful for not only elderly patients but also young women who desire pregnancy. However, postoperative anastomotic leakage should be considered. Recently, fluorescence imaging with indocyanine green (ICG) has provided a real-time assessment of intestinal perfusion to prevent the occurrence of anastomotic leakage after colorectal surgery. We describe here a case of a female adolescent patient with complete rectal prolapse who underwent ICG fluorescence imaging-assisted Altemeier perineal rectosigmoidectomy to prevent postoperative anastomotic leakage as well as surgery-related infertility.