Strangled Rectal Prolapse in Relation to Two Observations at the University Hospital Center of Conacry:: Science Publishing Group

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

Camara Fode Lansana¹, Diakite Sandaly², Camara Soriba Naby³, Balde Habiboulaye¹, Barry Alpha Madiou¹, Diakite Saikou Yaya¹, Balde Abdoulaye Korse¹, Sylla Hamidou¹, Toure Ibrahima¹, Balde Thierno Mamadou¹, Doumbouya Bourlaye¹, Koundouno Aly Mampan¹, Toure Aboubacar¹, Diallo Aissatou Taran¹, Diallo Biro¹

¹Department of Visceral Surgery of the Donka National Hospital, Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry, Conakry, Guinea

²General Surgery Department of the Ignace Deen National Hospital, Gamal Abdel Nasser Faculty of Health Sciences and Technologies University of Conakry, Conakry, Guinea

³Visceral Surgery Department, Donka National Hospital, Conakry, Guinea

Journal of Surgery, Volume 11, Issue 5, October 2023

Pages: 99-102

Received: Jun. 18, 2023

Accepted: Aug. 25, 2023

Published: Sep. 13, 2023

DOI: 10.11648/j.js.20231105.12

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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.

Keywords

Strangulated Rectal Prolapse, Emergency, Perineal Resection

To cite this article

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

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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