Complete Rectal Prolapse

Authors

Keywords:

rectal prolapse, surgical management, incontinence, constipation, rectal bleeding, acute proctalgia.

Abstract

Introduction: Complete rectal prolapse is the invagination of the rectal layers through the anal canal and its protrusion out of it. Its incidence is 2.5 per 100,000 inhabitants, predominantly in elderly women. It is a chronic and benign condition, whose clinical and endoscopic presentation is so variable that it can be confused with other entities, such as colorectal cancer.

Objective: To present the case of a female patient who underwent surgery for complete rectal prolapse in the province of Cienfuegos.

Case presentation: A 76-year-old female patient, white, from a rural area, came to the clinic and reported that she had not defecated for 12 days. In addition, she presents pain, nonactive rectal bleeding and a mass protruding through the anal region suggestive, on physical examination, of a complete rectal prolapse. Digital rectal examination confirmed the diagnosis. Surgical reduction of the prolapse was performed using the Delorme technique. She has undergone surgery for 6 months now, with favorable evolution. Due to the rarity of this entity, its publication is considered as scientifically interesting.

Conclusion: This entity is uncommon in the medical environment. The great change that it causes in the living standards of those who carry it and its complications make it require a quick and timely treatment.

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Author Biographies

Ernesto Pérez Quintana, Hospital Provincila Gustavo Aldereguía Lima, Cienfuegos

Especialista de I Grado en Coloproctología

José Alberto Puerto Lorenzo, Hospital Provincila Gustavo Aldereguía Lima, Cienfuegos

Especialista de II Grado en Cirugía General y I Grado en Medicina General Integral. Asistente. Investigador Agregado.

Lidia Torres Ajá, Hospital Provincila Gustavo Aldereguía Lima, Cienfuegos

Doctora en Ciencias Médicas, Máster en Educación Médica, Máster en Atención Integral a la Mujer. Especialista de II Grado en Cirugía General. Profesora Titular. Investigadora Titular.

Eslinda Cabanes Rojas, Hospital Provincila Gustavo Aldereguia Lima, Cienfuegos

Especialista de I Grado en Medicina Interna. Profesor Asistente.

Published

2023-12-13

How to Cite

1.
Pérez Quintana E, Puerto Lorenzo JA, Torres Ajá L, Cabanes Rojas E. Complete Rectal Prolapse. Rev. Cub. Cir. [Internet]. 2023 Dec. 13 [cited 2024 Dec. 18];62(3). Available from: https://revcirugia.sld.cu/index.php/cir/article/view/1248

Issue

Section

Presentaciones de casos

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