Altemeier procedure for incarcerated rectal prolapse in young age: a rare case report

Authors

  • Raj C. Soni Department of General Surgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Kirit D. Parmar Department of General Surgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Sameer Parikh Department of General Surgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
  • Urvish Kumar Khatri Department of General Surgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241755

Keywords:

Procidentia, Incarceration, Rectal prolapse, Altemeiers

Abstract

Rectal prolapse is complete protrusion of rectum (procidentia) through anal canal. It is most commonly occurring in elderly age but rarely can occur in young age. Incarceration rarely complicates the chronically progressive form of full thickness rectal prolapse. We report the case of 38-year-old men who underwent emergency surgery for incarcerated rectal prolapse. Emergency perineal rectosigmoidectomy (altemeier procedure) was performed with diverting loop sigmoid colostomy. The successful treatment of this patient illustrates the value of altemeier procedure in difficult case of bowel incarceration.

Metrics

Metrics Loading ...

References

Felt-Bersma RJ, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele and solitary ulcer syndrome. Gastroenterol Clin North Am. 2001;30:199-222.

Roig JV, Buch E, Alós R, Solana A, Fernández C, Villoslada C, et al. Anorectal function in patients with complete rectal prolapse: differences between continent and incontinent individuals. Rev Esp Enferm Dig. 1998;90:794-805.

Womack NR, Williams NS, Holmfield JH, Morrison JF. Pressure and prolapse--the cause of solitary rectal ulceration. Gut. 1987;28:1228-33.

Keighley MRB, Williams NS. Rectal prolapse. Surgery of the anus, rectum and colon. Volume 1. 3rd edition. Philadelphia: Saunders Elsevier 2008: 779-782.

Ramanujam PS, Venkatesh KS. Management of acute incarcerated rectal prolapse. Dis Colon Rectum. 1992;35:1154-6.

Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg. 2005;140:63-73.

Bastawrous A, Abcarian H. Complete rectal prolapse. Suckelford’s Surgery of the alimentary tract. Volume 2. 6th edition. Philadelphia: Saunders Elsevier 2007; 1958-1965.

McCue JL, Thomson JP. Clinical and functional results of abdominal rectopexy for complete rectal prolapse. Br J Surg. 1991;78:921-3.

Solomon MJ, Young CJ, Eyers AA, Roberts RA. Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse. Br J Surg. 2002;89:35-9.

Downloads

Published

2024-06-27

How to Cite

Soni, R. C., Parmar, K. D., Parikh, S., & Khatri, U. K. (2024). Altemeier procedure for incarcerated rectal prolapse in young age: a rare case report . International Surgery Journal, 11(7), 1201–1203. https://doi.org/10.18203/2349-2902.isj20241755

Issue

Section

Case Reports