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Altemeier operation for gangrenous rectal prolapse
Cherif Abdelhedi1, F Frikha, S Bardaa
1Department of Digestive Surgery, University Tunis Al Manar Hospital Marsa, Tunis, Tunisia. abdelhedi.cherif@yahoo.fr.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 13, 2014
Summary
Strangulated rectal prolapse, a rare cause of intestinal occlusion, necessitates emergency surgery. The Altemeier operation combined with colostomy provided an excellent outcome for a patient with bowel incarceration.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Strangulated rectal prolapse is a rare but critical condition causing intestinal occlusion.
- This emergency necessitates prompt surgical intervention.
Purpose of the Study:
- To describe the successful surgical management of a patient with strangulated rectal prolapse and bowel incarceration.
- To highlight the efficacy of the Altemeier procedure in complex cases.
Main Methods:
- A patient underwent emergency perineal proctectomy (Altemeier operation).
- A diverting loop sigmoid colostomy was performed concurrently.
- Colostomy closure was performed postoperatively.
Main Results:
- The patient experienced an uneventful postoperative course.
- An excellent final result was achieved after colostomy closure.
- The Altemeier procedure proved effective in managing bowel incarceration.
Conclusions:
- The Altemeier procedure is a valuable surgical option for strangulated rectal prolapse with bowel incarceration.
- Combined with a diverting colostomy, it offers a successful treatment strategy.