Abstract

Strangled rectal prolapse, the rare disease, is a proctological emergency. Its management is controversial. When it is not reducible and signs of ischemia are present, the Altemeierperineal rectosigmoidectomy remains the best treatment. This study aimed to report our experience on the management of strangled rectal prolapse about 1 case in a 45-year-old man, a holder of a rectal prolapse for 2 years. On admission, he had strangled prolapse for 24 hours with edema. After a vain attempt of manual reduction and installation of necrosis after 48 hours, he had an Altemeier rectosigmo?dectomy. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day. The results were very good, after one year follow-up.

Highlights

  • Rectal prolapse is an intussusception of the rectal wall leading to its expression more or less complete [1]

  • The purpose of this study was to report our experience on the management of the strangled rectal prolapse treated by the Altemeier technique in a patient

  • BA, 45 years old, was the bearer of anal swelling, painless and reducible, evolving over the past two years with the proctalgia, episodes of rectal bleeding and constipation. He was admitted to our department for painful and irreducible rectal prolapsed evolving for 24 hours

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Summary

INTRODUCTION

Rectal prolapse is an intussusception of the rectal wall leading to its expression more or less complete [1]. It is perceived as degrading disability, often unacknowledged. The type of ulcer complications, strangulation or evisceration is rare but is proctological emergencies whose treatment is usually surgical. There is no consensus yet on the therapeutic method to use. The purpose of this study was to report our experience on the management of the strangled rectal prolapse treated by the Altemeier technique in a patient

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