1. Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse.
- Author
-
Cernuda, Ricardo, Ángel, Janet, Fernández, Nuria, Sánchez-Farpón, José, Pérez, Jose, Cernuda, Ricardo Baldonedo, Ángel, Janet Pagnozzi, Fernández, Nuria Truan, Sánchez-Farpón, José Herminio, and Pérez, Jose Antonio Álvarez
- Subjects
RECTAL prolapse ,SURGICAL emergencies ,FECAL incontinence ,TUMOR markers ,IMPRISONMENT ,DISEASES in older people ,THERAPEUTICS ,COLON surgery ,PERINEUM surgery ,RECTAL surgery ,COLOSTOMY ,DIGESTIVE organ surgery ,MEDICAL emergencies ,DISEASE complications - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF