Procidentia in identical twins. Report of cases and analysis of treatment options

Within a six-week interval, adult identical twin brothers presented with third-degree complete rectal prolapse. Since no other predisposing factors were evident, contribution of an inherited predisposition is implied. Evaluation of alternatives supports use of presacral rectal mobilization with subtotal anterior resection and reanastamosis of sigmoid colon and rectum as the curative procedure.