scholarly journals The Altemeier Procedure for Strangulated Rectal Prolapse: A Case Report

Author(s):  
Amal Hajri ◽  
Karim Yaqine ◽  
Saad Rifki El Jai ◽  
Rachid Boufettal ◽  
Driss Errguibi ◽  
...  

Rectal prolapse is the complete protrusion of the rectum through the anal canal. It is most common in elderly people, but can rarely occur at any age, the strangulated rectal prolapse is a rare complication. We report the case of a 78-year old men who underwent emergency surgery for strangulated rectal prolapse. Emergency perineal rectosigmoidectomy (Altemeier repair) was performed with simple outcome. This case highlights the importance of Altemeier’s procedure in the face of a strangulated rectal prolapse in an emergency situation.

2014 ◽  
Vol 03 (01) ◽  
pp. 64-66
Author(s):  
Alpha Oumar Toure ◽  
Cheikh Tidiane Diop ◽  
Fode Baba Toure ◽  
Thomas Marcel M. Wade ◽  
Gabriel Ngom

2018 ◽  
Vol 63 (2) ◽  
pp. 57-59 ◽  
Author(s):  
Imad El Moussaoui ◽  
Augustin Limbga ◽  
Manke Dika ◽  
Abdelilah Mehdi

Introduction Rectal prolapse is the complete protrusion of the rectum through the anal canal, incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangulated and gangrenous, necessitating emergency surgery. Case presentation We present the first reported case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. The patient was a 26-year-old man who presented with a 20×6 cm semi-spherical mass extra-anally. Rectosigmoidectomy with sacral rectopexy was performed, resecting 20 cm of the incarcerated rectum and sigmoid colon. The postoperative course was uneventful with a good final result after colostomy closure and continuity restoration. Conclusion The successful treatment of this patient illustrates the value of surgery in this difficult and unusual case scenario of rectal incarceration.


Author(s):  
Yoshihisa SAIDA ◽  
Jiro NAGAO ◽  
Makoto TAKASE ◽  
Chidori OKUMURA ◽  
Katsutaka SAI ◽  
...  

2021 ◽  
Vol 2 ◽  
pp. 53-55
Author(s):  
Surajudeen Oyeleke Bello ◽  
Sandra Umejiaku ◽  
Taofik Oluwaseun Ogunkunle ◽  
Oyetundun Fausat Afolabi ◽  
Ahmed Ashuku Yakubu

Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.


2010 ◽  
Vol 92 (3) ◽  
pp. e7-e9 ◽  
Author(s):  
Khurram Siddique ◽  
Santosh Bhandari ◽  
Gandra Harinath

This case report is on a very rare case of giant anal canal ulcer with rectal prolapse causing total faecal incontinence. An elderly patient in her eighties presented to the emergency department with complaints of a mass protruding thorough anus along with fresh rectal bleeding. Examination revealed a large ulcer measuring 6 cm × 8 cm involving the entire anal canal with rectal prolapse. Here, we discuss the management of this patient with a rare cause of giant anal canal ulceration.


2019 ◽  
Vol 21 (5) ◽  
pp. 608-609 ◽  
Author(s):  
N. Acar ◽  
G. Ballı ◽  
D. Khabbazazar ◽  
F. Cengiz ◽  
T. Acar ◽  
...  

Author(s):  
Nimesh B. Thakkar ◽  
Abhesinh Chauhan

Incisional hernia Complicates only 2%-10%. Spontaneous evisceration of content is very rare but whenever it occurs, it demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents. The hernial contents can be covered primarily by mesh repair if the general condition of the patient and local condition of the operative site allows or can be covered by skin followed by delayed mesh repair. Authors report such rare case of spontaneous evisceration of omentum in 35 years old female patient who was known case of incisional hernia for 2 years. Neglect for early operative intervention or delay in seeking the treatment for an incisional hernia increases the risk of rupture.


2017 ◽  
Vol 4 (4) ◽  
pp. 1447
Author(s):  
Naueen Akbar Chaudhry ◽  
Kristina Go ◽  
Atif Iqbal

An 86-year-old female presented with the first episode of an incarcerated full thickness rectal prolapse, concerning for ischemia of the prolapsed segment. Intra-operatively, the patient was noted to have an enterocele containing a 20-25 cm segment of strangulated and perforated small bowel. She underwent a perineal rectosigmoidectomy (altemeier procedure) with levatorplasty followed by a small bowel resection and anastomosis trans-abdominally.


2017 ◽  
Vol 6 (3) ◽  
pp. 22-25
Author(s):  
Robert Wendt ◽  
Krzysztof Jarosław Dalke ◽  
Piotr Tomasz Glamowski

Vocal cord palsy as a result of tonsillectomy in local anesthesia is a very rare complication. In literature, there is only few publication describing this side effect of tonsillectomy. We present a case of 26 years old men who was classified for surgical removing of tonsils in local anesthesia using 1% lignocaine with 1:100 000 epinephrine. During the procedure respiratory failure with stridor was developed, examination using indirect laryngoscopy show bilateral vocal chord palsy. The authors present probably pathomechanism of this complication.


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