title: Perineal Rectosigmoidectomy (Altemeier Procedure) as Treatment of Strangulated Rectal Prolapse.
abstract: Incarceration of a rectal prolapse is an unusual entity that represents a surgical emergency. Even more rarely, it becomes strangulated, requiring emergency surgery. When surgery becomes inevitable, the choice of procedure varies. A 57-year-old man who presented with strangulated rectal prolapse is described. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy. The postoperative course was uneventful. After a 6-month follow-up, there was no recurrence, but the patient continued with fecal incontinence. This case underlines the importance of the Altemeier procedure as treatment in the patient with a strangulated prolapsed rectal segment.
authors.affiliation: Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain. baldonedo@telecable.es.
authors.forename: Ricardo Baldonedo
authors.initials: RB
authors.lastname: Cernuda
authors.affiliation: Department of Surgery, Hospital Universitario Central de Asturias, Avenida de Roma, s/n 33011, Oviedo, Spain.
authors.forename: Janet Pagnozzi
authors.initials: JP
authors.lastname: Ángel
authors.affiliation: Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain.
authors.forename: Nuria Truan
authors.initials: NT
authors.lastname: Fernández
authors.affiliation: Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain.
authors.forename: José Herminio
authors.initials: JH
authors.lastname: Sánchez-Farpón
authors.affiliation: Division of Coloproctology, Department of Surgery, Hospital Universitario Central de Asturias, C/Cardenal Cienfuegos 2 esc 2 8°d 33007 Avenida de Roma, s/n 33011, Oviedo, Spain.
authors.forename: Jose Antonio Álvarez
authors.initials: JA
authors.lastname: Pérez
mesh_terms: D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D004630:Emergencies; D005242:Fecal Incontinence / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D012005:Rectal Prolapse / Q000150:complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery
keywords: Altemeier procedure; Incarceration; Perineal rectosigmoidectomy; Rectal prolapse