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Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse
Ricardo Baldonedo Cernuda1, Janet Pagnozzi Ángel2, Nuria Truan Fernández3
1Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain. baldonedo@telecable.es.
Abstract:
Incarceration of a rectal prolapse is an unusual entity that represents a surgical emergency. Even more rarely, it becomes strangulated, requiring emergency surgery. When surgery becomes inevitable, the choice of procedure varies. A 57-year-old man who presented with strangulated rectal prolapse is described. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy. The postoperative course was uneventful. After a 6-month follow-up, there was no recurrence, but the patient continued with fecal incontinence. This case underlines the importance of the Altemeier procedure as treatment in the patient with a strangulated prolapsed rectal segment.
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