Perineal rectosigmoidectomy for strangled rectal prolapse: A case report


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.

Share and Cite:

Toure, A. , Diop, C. , Toure, F. , M. Wade, T. and Ngom, G. (2014) Perineal rectosigmoidectomy for strangled rectal prolapse: A case report. Case Reports in Clinical Medicine, 3, 64-66. doi: 10.4236/crcm.2014.31015.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Contou, J.F. and Godeberge, P. (2007) Prolapsus rectal. Traité de proctologie. Vol. 1, Flammarion, Paris, 147-152.
[2] Soravia, C. and Vollenweider, E. (2004) Prolapsus rectal incarcéré après préparation colique au polyethylene glycol. Gastroentérologie Clinique et Biologique, 28, 1177-1178.
[3] De Parades, V., Bauer, P., Villet, R. and Atienza, P. (200) Valeur et limites de la clinique dans les troubles fonctionnels anorectaux (hors algies chroniques). Gastroentérologie Clinique et Biologique, 27, 87-98.
[4] Lechaux, J.P. (2002) Traitement chirurgical du prolapsus rectal complet de l’adulte. Encyclopédie médicale Medix, Techniques Chirurgicales-Appareil Digestif, 40-710, 12 Pages.
[5] Randriamananjara, N. and Rabarioelina, L. (1997) Le prolapsus colo rectal aigu: A propos d’un cas traité. Medecine Afrique Noire, 44, 610-611.
[6] Sarpel, U., Jacob, B.P. and Steinhagen, R.M. (2005) Reduction of a large incarcerated rectal prolapse by use of elastic compression wrap. Diseases of the Colon & Rectum, 48, 1320-1322.
[7] Myer, J.O. and Rothenberger, D.A. (1991) Sugar in the reduction of incarcerated prolapsus bowel. Report of the two cases. Diseases of the Colon & Rectum, 34, 416-418.
[8] Coburn, 3rd, W.M., Russel, M.A. and Hofstetter, W.L. (1997) Sucrose as an aid to manual reduction of incarcerated rectal prolapse. Annals of Emergency Medicine, 30, 347-349.
[9] Madiba, T.E., Baig, M.K. and Wexner, S.D. (2005) Surgical management of rectal prolapse. Archives of Surgery, 140, 63-73.
[10] Yildirim, S., Koksal, H.M. and Baykan, A. (2001) Incarcerated and strangulated rectal prolapse. International Journal of Colorectal Disease, 16, 60-61.
[11] Voulimeneas, I., Antonopoulos, C., Alifierakis, E. and Ioannides, P. (2010) Perinealrectosigmoidectomy for gangrenous rectal prolapse. World Journal of Gastroenterology, 16, 2689-2691.
[12] Ramanujam, P.S. and Venkatesh, K.S. (1992) Management of acute incarcerated rectal prolapse. Diseases of the Colon & Rectum, 35, 1154-1156.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.