Strangulated rectal prolapse in adult: Altemeier cure about two cases and literature review.

Autor:	Niasse A; Alioune Diop University Of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Diourbel, Senegal. Electronic address: niasseabdou30@gmail.com., Faye PM; Alioune Diop University Of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Diourbel, Senegal., Ndong A; Alioune Diop University Of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Diourbel, Senegal., Thiam O; Alioune Diop University Of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Diourbel, Senegal., Konate I; Alioune Diop University Of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Diourbel, Senegal.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Oct; Vol. 123, pp. 110210. Date of Electronic Publication: 2024 Aug 23.
DOI:	10.1016/j.ijscr.2024.110210
Abstrakt:	Introduction and Importance: Rectal prolapse is the protrusion of the rectum through the anus. It is a rare condition in young adults. Strangulation is rare but it's a serious complication imposing emergency surgery. Altemeier's recto-sigmoidectomy seems to be an appropriate surgical method for strangulation. The aim of our work was to evaluate this technique in two cases of strangulated rectal prolapse in young adults. Case Presentation: This report is of two men aged 37 and 29. They were seen for the management of irreducible rectal prolapses. They both men gave a long history of constipation and rectal prolapse since childhood. The physical examination found complete rectal prolapse of 13 cm and 15 cm in length respectively. One person had necrosis of the rectal mucosa. The manual reduction failed, why perineal recto-sigmoidectomy was performed. Postoperative course was uneventful. After 24 months follow-up, there was no disorder of anal continence or recurrence. Clinical Discussion: Strangulated rectal prolapse is rare. This makes consensus in treatment difficult. The risk of necrosis explains the need for surgical excision of the rectum. Conclusion: Altemeier's technique is a good procedure for the management of strangulated rectal prolapse. Competing Interests: Conflict of interest statement No Applicable. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu