Incarcerated Rectal Procidentia: A Case Report and Review

Abstract

Rectal procidentia is an uncommon perineal disease that is rare in males. There is no specific medical role in treatment of rectal procidentia and surgical intervention is the treatment of choice. Various surgical approaches have been performed, but there is no consensus on which procedure is most effective in terms of patient condition, recurrence rate, bowel function, and risk. This case presentation of a healthy male patient with experience of uncomplicated reducible rectal prolapse and a history of chronic constipation. Presented with complicated rectal prolapse in the presence of incarcerated rectal prolapse after a failed trial with conservative maneuvers, he ended up with abdominal approach sigmoidectomy and posterior mesh rectopexy.

A case report of largest rectal prolapse in the literature successfully treated with Altemeier's procedure

“…The rectal prolapse is defined as the concentric protrusion of full or partial thickness of the rectum or rectosigmoid via the anus and this condition is estimated to occur in less than 0.5% of the population [ 1 ]. Complete rectal prolapse, also known as rectal procidentia or the third-degree prolapse is the full thickness projection, is an increasing clinical concern that is usually found in old female patients [ 2 , 3 ]. Increased intra-abdominal pressure in conditions such as chronic constipation, or pelvic floor/anal sphincter musculature weakness is the main underlying condition [ 2 , 4 ].…”

“…Complete rectal prolapse, also known as rectal procidentia or the third-degree prolapse is the full thickness projection, is an increasing clinical concern that is usually found in old female patients [ 2 , 3 ]. Increased intra-abdominal pressure in conditions such as chronic constipation, or pelvic floor/anal sphincter musculature weakness is the main underlying condition [ 2 , 4 ]. Once the projection occurs, nonoperative or operative interventions are mandatory to reduce it as soon as possible with the least complications [ 5 ].…”