Trends in General Medicine
Open AccessStrangled Rectal Prolapse in Adults: Results of Treatment at the Altemeier Surgery Department
Authors: Fofana H, Soumaoro LT, Barry MS, Oulare I, Keita K, Kouyate K, Thermite Mara M, Diakite S, Toure A.
Abstract
Introduction: Endoluminal intussusception of the rectal wall is a rare, worrisome, and concerning condition. The objective was to report the management of four cases of strangulated rectal prolapse observed in the surgical department of Ignace Deen Hospital.
Case Report: We saw four patients, including one woman, for total rectal prolapse.
All suffered from chronic constipation and were accustomed to standard reduction maneuvers.
The diagnosis was clinical: a rectal mass had protruded through the anus, becoming painful and irreducible. All presented with third-degree strangulated prolapse.
The surgical procedure was an Altemeier procedure. The overall outcome was favorable, but one patient complained of anal incontinence due to gas and mucous discharge from the anus.
Conclusion: Strangulated rectal prolapse is a rare and serious clinical condition that requires rapid and effective management to prevent life-threatening complications. In emergency cases, an Altemeier procedure may be proposed.
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