Abstract
Introduction: Rectal prolapse (RP) is an uncommon perineal disease. It is defined as a complete protrusion or intussusception of the rectum through the anus. It generally affects children and the elderly. Its occurrence in young adults is rare. Strangulation of the prolapsed rectum is also a rare complication. This complication presents requires an emergent surgery. Observation: We report the case of a 65 year old women presented to the emergency department complaining of rectal pain, bleeding, and protrusion of 36 hours’ duration .We note in his antecedents several episodes of exteriorizations reduced by digital maneuvers. At the anus, there was an irreducible, edematous, without signs of ischemia or necrosis rectal prolapse measuring 25*10 cm wide. The laboratory data showed a high white blood cell count and elevated C-reactive protein. The patient was operated urgently. The gesture consisted of a reduction of the prolapse by an external and internal maneuver with pormontofixation with a good evolution. Conclusion: stranguled rectal prolapse is a rare complication. Necrosis of the externalized segment is exceptional but serious and can be life-threatening. The Altemeier intervention is the intervention of choice in this situation. but we opted for An external ans internal reduction maneuver with promontofixation.
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