Introduction. Many factors have been indentified as a possible cause of
rectal prolaps. Despite the fact that it is not a lifethreating condition,
its clinical presentation varies, and sometimes it can present as an
emergency. We presented a patient with prolapse of an unusually large segment
of the rectosigmoid colon caused by chronic constipation, as an incarcerated
segment repaired surgically. Case report. A 62-year-old female patient was
referred to the Emergency Department in bad condition with severe pain in the
perianal region. On examination a complete rectal prolaps as well as a part
of sigmoid colon were found. Macroscopically, the prolapsed segment appeared
edematous, livid, with ulcerations. An attempt to manually reduce prolapse
failed, therefore resection of 50 cm of sigmoid colon with rectopexy had to
be performed. No complications occurred and the patient was without symptoms
six months later. Colonoscopy did not reveal any abnormality. Conclusion.
Although the preoperative management and preparation of the patient was
limited, emergancy surgical intervention for such a case was the strategy of
choice due to magnitude of the prolapsing segment. It provided a successful
and permenant solution.
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