Incarcerated rectal prolapse resolved by the Altemeier procedure. About a case

Main Article Content

Miguel Angel Aranda Wildberger
Eduardo Roberto Santacruz Bareiro

Abstract

Rectal prolapse has an estimated incidence in the general population of 2,5/100,000, with a predominance in women and in patients over 50 years of age. The etiology is multifactorial, incarcerated rectal prolapse is rare and constitutes a surgical emergency. The Altemeier procedure is a valid alternative in these cases due to its low morbidity.
A clinical case of a patient who underwent an Altemeier rectosigmoidectomy is described below, with a good response in the postoperative period and without postoperative complications

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How to Cite
1.
Aranda Wildberger MA, Santacruz Bareiro ER. Incarcerated rectal prolapse resolved by the Altemeier procedure. About a case. Rev. Nac. (Itauguá) [Internet]. 2021 Dec. 30 [cited 2024 Nov. 22];13(2):84-9. Available from: http://revistadelnacional.com.py/index.php/inicio/article/view/56
Section
Caso Clínico

References

Trompetto M, Tutino R, Realis Luc A, Novelli E, Gallo G, Clerico G. Altemeier's procedure for complete rectal prolapse; outcome and function in 43 consecutive female patients. BMC Surg. 2019;19(1):1. doi: 10.1186/s12893-018-0463-7.

Pandit N, Yadav TN, Awale L. Incarcerated complete rectal prolapse managed by Altemeier's procedure. Trop Doct. 2020;50(3):236-238. doi: 10.1177/0049475519896222.

El Moussaoui I, Limbga A, Dika M, Mehdi A. Strangulation of giant rectal prolapse. Scott Med J. 2018;63(2):57-59. doi: 10.1177/0036933018764035.

Cernuda RB, Ángel JP, Fernández NT, Sánchez-Farpón JH, Pérez JA. Perineal rectosigmoidectomy (Altemeier Procedure) as treatment of strangulated rectal prolapse. J Gastrointest Surg. 2016;20(12):2102-2103. doi: 10.1007/s11605-016-3190-3.

Altemeier WA, Culbertson WR, Schowengerdt C, Hunt J. Nineteen Years' Experience with the one-stage perineal repair of rectal prolapse. Annals of Surgery. 1971;173(6):993–1006. doi: 10.1097/00000658-197106010-00018.

Hovey MA, Metcalf AM. Incarcerated rectal prolapse--rupture and ileal evisceration after failed reduction: report of a case. Dis Colon Rectum. 1997;40(10):1254-7. doi: 10.1007/BF02055174. PMID: 9336123. doi: 10.1007/BF02055174.

Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev. 2015;2015(11):CD001758. doi: 10.1002/14651858.CD001758.pub3.