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Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse

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Journal of Gastrointestinal Surgery

Abstract

Incarceration of a rectal prolapse is an unusual entity that represents a surgical emergency. Even more rarely, it becomes strangulated, requiring emergency surgery. When surgery becomes inevitable, the choice of procedure varies. A 57-year-old man who presented with strangulated rectal prolapse is described. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy. The postoperative course was uneventful. After a 6-month follow-up, there was no recurrence, but the patient continued with fecal incontinence. This case underlines the importance of the Altemeier procedure as treatment in the patient with a strangulated prolapsed rectal segment.

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References

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Author Contribution

Pagnozzi Ángel was responsible for data collection and processing and for the preparation of the manuscript draft; Baldonedo Cernuda had the original idea, provided the guidelines for the manuscript, and revised and corrected it; Álvarez Pérez revised and corrected the manuscript draft; Truan Fernández and Sánchez Farpón supervised data acquisition procedure and revised and corrected the draft. All the authors have revised and approved the current version of the manuscript.

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Authors and Affiliations

  1. Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain

    Ricardo Baldonedo Cernuda, Nuria Truan Fernández, José Herminio Sánchez-Farpón & Jose Antonio Álvarez Pérez

  2. Department of Surgery, Hospital Universitario Central de Asturias, Avenida de Roma, s/n 33011, Oviedo, Spain

    Janet Pagnozzi Ángel

Authors
  1. Ricardo Baldonedo Cernuda
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  2. Janet Pagnozzi Ángel
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  3. Nuria Truan Fernández
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  4. José Herminio Sánchez-Farpón
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  5. Jose Antonio Álvarez Pérez
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Corresponding author

Correspondence to Ricardo Baldonedo Cernuda.

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Informed Consent Statement

Informed consent was explained, delivered, and signed for the patient prior to surgery.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Cernuda, R.B., Ángel, J.P., Fernández, N.T. et al. Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse. J Gastrointest Surg 20, 2102–2103 (2016). https://doi.org/10.1007/s11605-016-3190-3

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  • DOI: https://doi.org/10.1007/s11605-016-3190-3

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