Abstract
A rare complication of rectal prolapse is incarceration or even strangulation. This type of complication needs emergency intervention either by medical reduction or surgical procedures. In this report, a rare case of rectal prolapse with deep mucosal ulceration down to the muscle with an unremarkable past medical history, and no predisposing pathology presented. The patient underwent laparotomy and perineal proctosigmoidectomy (Altemeier operation) but without primary anastomosis. The distal stump was closed and reduced with a temporary defunctioning colostomy. The postoperative course was uneventful. The colostomy was joined to a distal stump by a stapler after 6 months with an excellent outcome. This procedure gives a value of multi-procedures in the unusual presentation of rectal prolapse.
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