[Solitary ulcer of the rectum. Report of two cases treated by the Orr-Loygue technique].
We report two cases of solitary ulcer of the rectum treated by Orr Loygue rectopexy technique in a ten-year period at the Surgery Department of Aristide Le Dantec. The first case is about a 39 year-old female who was constipated since approximately seventeen years and had a rectal prolapse associated later to bloody stools. In 1990, she underwent haemorrhoids surgery operation with unsatisfactory results. After the recurrence of the disease, she was admitted at Aristide le Dantec Teaching Hospital, rectoscopy revealed a solitary ulcer. Orr Loygue rectoplexy technique was performed by laparotomy. In the follow up, there was no complication. The second case is about a 43 years old female who suffered from rectal syndrome since twenty years and had pelvis pains with bleeding and phlegmatic diarrhoeas. The physical examination and biologic analysis showed no particularity. Rectoscopy has revealed a solitary ulcer of the rectum which was confirmed by biopsy. Orr Loygue rectoplexy technique was performed. In the follow-up, there was a recurrence and this was confirmed by rectoscopy. The rectopexy alone does not summurize the therapeutic. A final dyskesia or an associated perineal insufficiency must be integrated in a total therapeutic strategy.
Dieng
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Clinique Chirurgicale CHU A. Le Dantec, BP 5470, Dakar. madiengd@hotmail.com
Sanon
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Konaté
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D000328:Adult; D001706:Biopsy; D003967:Diarrhea / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007813:Laparotomy; D012002:Rectal Diseases / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014456:Ulcer / Q000150:complications / Q000601:surgery*