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Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry

Received: 18 June 2023     Accepted: 25 August 2023     Published: 13 September 2023
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Abstract

Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route.

Published in Journal of Surgery (Volume 11, Issue 5)
DOI 10.11648/j.js.20231105.12
Page(s) 99-102
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Strangulated Rectal Prolapse, Emergency, Perineal Resection

References
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    Camara Fode Lansana, Diakite Sandaly, Camara Soriba Naby, Balde Habiboulaye, Barry Alpha Madiou, et al. (2023). Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. Journal of Surgery, 11(5), 99-102. https://doi.org/10.11648/j.js.20231105.12

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    ACS Style

    Camara Fode Lansana; Diakite Sandaly; Camara Soriba Naby; Balde Habiboulaye; Barry Alpha Madiou, et al. Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. J. Surg. 2023, 11(5), 99-102. doi: 10.11648/j.js.20231105.12

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    AMA Style

    Camara Fode Lansana, Diakite Sandaly, Camara Soriba Naby, Balde Habiboulaye, Barry Alpha Madiou, et al. Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry. J Surg. 2023;11(5):99-102. doi: 10.11648/j.js.20231105.12

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  • @article{10.11648/j.js.20231105.12,
      author = {Camara Fode Lansana and Diakite Sandaly and Camara Soriba Naby and Balde Habiboulaye and Barry Alpha Madiou and Diakite Saikou Yaya and Balde Abdoulaye Korse and Sylla Hamidou and Toure Ibrahima and Balde Thierno Mamadou and Doumbouya Bourlaye and Koundouno Aly Mampan and Toure Aboubacar and Diallo Aissatou Taran and Diallo Biro},
      title = {Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry},
      journal = {Journal of Surgery},
      volume = {11},
      number = {5},
      pages = {99-102},
      doi = {10.11648/j.js.20231105.12},
      url = {https://doi.org/10.11648/j.js.20231105.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231105.12},
      abstract = {Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry
    AU  - Camara Fode Lansana
    AU  - Diakite Sandaly
    AU  - Camara Soriba Naby
    AU  - Balde Habiboulaye
    AU  - Barry Alpha Madiou
    AU  - Diakite Saikou Yaya
    AU  - Balde Abdoulaye Korse
    AU  - Sylla Hamidou
    AU  - Toure Ibrahima
    AU  - Balde Thierno Mamadou
    AU  - Doumbouya Bourlaye
    AU  - Koundouno Aly Mampan
    AU  - Toure Aboubacar
    AU  - Diallo Aissatou Taran
    AU  - Diallo Biro
    Y1  - 2023/09/13
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231105.12
    DO  - 10.11648/j.js.20231105.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 99
    EP  - 102
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231105.12
    AB  - Introduction: Rectal prolapse is defined as the full or partial thickness concentric protrusion of the rectum or rectosigmoid via the anus. This is a growing clinical concern that is usually found in elderly patients. The aim of the study was to report the results of surgery in two patients operated on for strangulated rectal prolapse using the ALTEMEIER technique and to review the literature. Observation 1: 78-year-old grandmother is admitted for a painful and irreducible rectal protrusion evolving for 72 hours. Given the failure of self-medication with poultices, she consults our service. In this history, she had stubborn constipation. She was a lucid patient. We saw a voluminous perineal mass, irreducible necrotic in places, with a polyp at its top. The examination of other devices as well as the biological assessment did not present any particularity. A rectosigmoidectomy with colo-anal anastomosis was straightforward. The patient was without complications six months later. Anatomo-pathological examination of the surgical specimen was not available. Observation 2: A 51-year-old merchant, admitted for a painful, irreducible rectal protrusion evolving for 48 hours. He consults after several unsuccessful attempts at self-reduction. He had stubborn constipation and bilateral inguinal herniorrhaphy as a history. Examination showed a large perineal mass with ischemic necrosis. Elsewhere it was unremarkable. Paraclinical assessment revealed hyperleukocytosis and accelerated ESR. The diagnosis of total strangulated rectal prolapse was made. Under spinal anesthesia, a rectosigmoidectomy with colo-anal anastomosis was performed immediately. The patient seen again six months later had no complications. Conclusion: strangulated rectal prolapse is a surgical emergency. Its PEC takes into account the patient's condition and the surgeon's experience. Perineal resection is the preferred surgical option in emergencies although its recurrence rate is higher compared to its cure through the abdominal route.
    VL  - 11
    IS  - 5
    ER  - 

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Author Information
  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department of the Ignace Deen National Hospital, Gamal Abdel Nasser Faculty of Health Sciences and Technologies University of Conakry, Conakry, Guinea

  • Visceral Surgery Department, Donka National Hospital, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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