Incarcerated Rectal Procidentia: A Case Report and Review
Abdulqader M Albeladi1, Ahmad Odeh2, Aminah H AlAli2
1General and Laparoscopic Surgery, Prince Saud Bin Jalawy Hospital, Al Ahsa, SAU.
Cureus
|September 17, 2021
Summary
Rectal procidentia, rare in males, typically requires surgery. This case details a successful abdominal sigmoidectomy and posterior mesh rectopexy for incarcerated rectal prolapse after failed conservative treatment.
Area of Science:
- Gastroenterology and Colorectal Surgery
Background:
- Rectal procidentia (rectal prolapse) is an uncommon condition, particularly in males.
- Surgical intervention is the primary treatment, yet optimal surgical approaches lack consensus regarding efficacy and outcomes.
Observation:
- A healthy male with a history of chronic constipation presented with complicated, incarcerated rectal prolapse.
- Conservative management failed, necessitating surgical intervention.
Findings:
- The patient underwent an abdominal approach sigmoidectomy combined with posterior mesh rectopexy.
- This surgical approach successfully addressed the incarcerated rectal prolapse.
Implications:
- This case highlights a viable surgical option for complex rectal prolapse in males.
- Further research is needed to establish evidence-based guidelines for surgical management of rectal procidentia.
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