Perineal rectosigmoidectomy for gangrenous rectal prolapse  

作　　者：Ioannis Voulimeneas Constantine Antonopoulos Evangelos Alifi erakis Pavlos Ioannides 

机构地区：[1]First Department of Surgery,General Hospital of Nikea-Pireus,Petrou Mantouvalou 3,18454,Nikea,Greece

出　　处：《World Journal of Gastroenterology》2010年第21期2689-2691,共3页世界胃肠病学杂志（英文版）

摘　　要：Incarceration rarely complicates the chronically progressive form of the full thickness rectal prolapse.Even more rarely,it becomes strangulated,necessitating emergency surgery.We describe an extremely rare case of incarcerated acute rectal prolapse,without a relevant previous history or symptoms of predisposing pathology.The patient underwent emergency perineal proctosigmoidectomy,the Altemeier operation,combined with diverting loop sigmoid colostomy.The postoperative course was quite uneventful with an excellent final result after colostomy closure.The successful treatment of this patient illustrates the value of the Altemeier procedure in the difficult and unusual case scenario of bowel incarceration.Incarceration rarely complicates the chronically progressive form of the full thickness rectal prolapse.Even more rarely,it becomes strangulated,necessitating emergency surgery.We describe an extremely rare case of incarcerated acute rectal prolapse,without a relevant previous history or symptoms of predisposing pathology.The patient underwent emergency perineal proctosigmoidectomy,the Altemeier operation,combined with diverting loop sigmoid colostomy.The postoperative course was quite uneventful with an ex...

关 键 词：Anorectal disease Rectal prolapse INCARCERATION Perineal rectosigmoidectomy Altemeier operation 

分 类 号：R657.1[医药卫生—外科学]