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Altemeier procedure for strangulated rectal prolapse: A case report.
Mohamed Ali Chaouch1, Rim Sallem1, Sadok Ben Jabra1
1Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
International Journal of Surgery Case Reports
|January 3, 2024
Summary
Strangled rectal prolapse (RP) is a rare condition where the prolapse cannot be manually reduced. Emergency surgery, like the Altemeier procedure, is crucial for successful management and preventing complications.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Surgical Case Reports
Background:
- Strangled rectal prolapse (RP) is a rare and severe condition characterized by an irreducible rectal prolapse.
- Prompt intervention is vital to avert complications such as necrosis, ulceration, and infection.
Observation:
- A 48-year-old male presented with painful, irreducible rectal prolapse.
- Necrosis developed following failed manual reduction attempts.
Findings:
- Emergency surgical intervention using the Altemeier procedure was successfully performed.
- The Altemeier procedure involved rectal and colon resection with colo-anal anastomosis and ileostomy.
Implications:
- This case underscores the effectiveness of the Altemeier procedure in managing strangulated rectal prolapse.
- Timely surgical management is critical for favorable outcomes in irreducible rectal prolapse cases.
