Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route.
| Published in | Journal of Surgery (Volume 11, Issue 5) |
| DOI | 10.11648/j.js.20231105.12 |
| Page(s) | 99-102 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Strangulated Rectal Prolapse, Emergency, Perineal Resection
| [1] | Rached B., Achref D., Zeineb M., Ghofrane T., Lassaad G., Nafaa A., Hafedh M., et Mohamed Taher K.: Prolapsus rectal étranglé de l’adulte jeune: à propos d’un cas et revue de la littérature. Pan Afr Med J. 2016; 25: 60. |
| [2] | Adamou H., Habou O., Amadou Magagi I., Adaka O., Sanir R. un cas de prolapsus rectal complet chez un jeune adulte de sexe masculin traité par la technique de FRYMAN-Goldberg. Annales de l’université de Parakou, série ˂˂Sciences de la santé˃˃, vol7, N°1, (2017),: 8-10. |
| [3] | Tou S., Brown SR., Nelson RL.: surgery for complete (full-tcheness) rectal prolapse in adults. Cochrane Database Syst Rev 2015, 11 (CD001758). |
| [4] | Lechaux D., Lechaux JP. Traitement chirurgical du prolapsus rectal complet de l’adulte. Encycl-Med chir, techniques chirurgicales-appareil digestifs 2014, 9 (2): 1-16 (40-710). |
| [5] | Murad-Regadas SM., Pinto RA.: Treatement of rectal prolapse. Semin Colon Rectal Surg 2016, 27 (1): 33-39. |
| [6] | Tiret E., Brunel M.: le prolapsus extériorisé du rectum, la lettre de l’Hépato gastroentérologue; centre de chirurgie digestive, hôpital Saint-Antoine, Paris- n° 6 - vol. II - décembre 1999: 224-247. |
| [7] | Sielezneff I, Bulgare JC, Sastre B, Sarles JC. Result of surgical treatment of exteriorized rectal prolapse in adults: experience of 21 years. Ann Chir. 1995; 49 (5): 396–402. |
| [8] | Voulimeneas I, Antonopoulos C, Alifierakis E, Ioannides P. Perineal rectosigmoidectomy for gangrenous rectal prolapse. World J Gastroenterol. 2010; 16 (21): 2689–91. |
| [9] | Hrabe J., Gurland B. Optiming Treatement for rectal prolapse. Clim Colon Rectal Surg. 2016, 29 (3): 271-76. |
| [10] | Madden MV, Kamm MA, Nicholls RJ, Santhanam AN, Cabot R, Speakman CT Abdominal rectopexy for complete prolapse: a prospective study evaluating changes in symptoms and anorectal function. Say. Colon Rectum. 1992; 35: 48–55. doi: 10.1007/BF02053338. [PubMed] [CrossRef] [Google Scholar]. |
| [11] | Shin EJ Surgical treatment of rectal prolapse. J. Korean Soc. Coloproctol. 2011; 27: 5–12. doi: 10.3393/jksc.2011.27.1.5. [PMC free article] [PubMed] [CrossRef] [Google Scholar]. |
| [12] | Wani I., Muzafar I., Gul I. Giant rectal prolapse: about a case. OA Case Rep. 2013; 2: 61. [Google Scholar]. |
| [13] | Sun C., Hull T., Ozuner G. Risk factors and clinical features of rectal prolapse in young patients. J. Visc. Surg. 2014; 151: 425–429. doi: 10.1016/j.jviscsurg.2014.07.013. [PubMed] [CrossRef] [Google Scholar]. |
| [14] | Li JZ, Kittmer T, Forbes S, Ruo L. Case report: sigmoid strangulation due to evisceration by a perforated rectal prolapse ulcer - an unusual complication of rectal prolapse. Int. J. Surg. Case report 2015; 10: 238–240. doi: 10.1016/j.ijscr.2015.02.003. [PMC free article] [PubMed] [CrossRef] [Google Scholar]. |
| [15] | El Moussaoui I., Limbga A., Dika M., Mehdi A. Strangulation of giant rectal prolapse. Scott. Med. J. 2018 doi: 10.1177/0036933018764035. 36933018764035. [PubMed] |
APA Style
Camara Fode Lansana, Diakite Sandaly, Camara Soriba Naby, Balde Habiboulaye, Barry Alpha Madiou, et al. (2023). Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. Journal of Surgery, 11(5), 99-102. https://doi.org/10.11648/j.js.20231105.12
ACS Style
Camara Fode Lansana; Diakite Sandaly; Camara Soriba Naby; Balde Habiboulaye; Barry Alpha Madiou, et al. Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. J. Surg. 2023, 11(5), 99-102. doi: 10.11648/j.js.20231105.12
AMA Style
Camara Fode Lansana, Diakite Sandaly, Camara Soriba Naby, Balde Habiboulaye, Barry Alpha Madiou, et al. Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. J Surg. 2023;11(5):99-102. doi: 10.11648/j.js.20231105.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20231105.12,
author = {Camara Fode Lansana and Diakite Sandaly and Camara Soriba Naby and Balde Habiboulaye and Barry Alpha Madiou and Diakite Saikou Yaya and Balde Abdoulaye Korse and Sylla Hamidou and Toure Ibrahima and Balde Thierno Mamadou and Doumbouya Bourlaye and Koundouno Aly Mampan and Toure Aboubacar and Diallo Aissatou Taran and Diallo Biro},
title = {Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry},
journal = {Journal of Surgery},
volume = {11},
number = {5},
pages = {99-102},
doi = {10.11648/j.js.20231105.12},
url = {https://doi.org/10.11648/j.js.20231105.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231105.12},
abstract = {Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route.},
year = {2023}
}
TY - JOUR T1 - Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry AU - Camara Fode Lansana AU - Diakite Sandaly AU - Camara Soriba Naby AU - Balde Habiboulaye AU - Barry Alpha Madiou AU - Diakite Saikou Yaya AU - Balde Abdoulaye Korse AU - Sylla Hamidou AU - Toure Ibrahima AU - Balde Thierno Mamadou AU - Doumbouya Bourlaye AU - Koundouno Aly Mampan AU - Toure Aboubacar AU - Diallo Aissatou Taran AU - Diallo Biro Y1 - 2023/09/13 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231105.12 DO - 10.11648/j.js.20231105.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 99 EP - 102 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231105.12 AB - Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route. VL - 11 IS - 5 ER -
Information
Email: