Perineal Rectosigmoidectomy for Rectal Prolapse Secondary to Rectal Cancer: A Case Report and Literature Review

Authors

  • Rawin Ingsirorat Department of Surgery, Udonthani Cancer Center , Udonthani, Thailand

Keywords:

Perineal rectosigmoidectomy, Rectal Prolapse, rectal cancer

Abstract

We report here an 83-year-old woman presented with severe degree of rectal prolapse secondary to rectal cancer. She underwent perineal rectosigmoidectomy to correct rectal prolapse and also to treat rectal cancer. The result was good with free surgical margins and good sphincter function. This case demonstrated an alternative procedure1 to treat rectal cancer in an extremely old patient with significant underlying disease.

References

1. Altemeier WA, Giuseffi J, Hoxworth P. Treatment of extensive
prolapse of the rectum in aged debilitated patients. Arch
Surg 1952;65:72-80.

2. Ramanujam PS, Venkatesh KS. Perineal excision of rectal
prolapse with posterior levator ani repair in elderly high risk
patients. Dis Colon Rectum 1988;31:704-6.

3. Gopal KA, Amshel AL, Shonberg IL, Wftaiha M. Rectal
procidentia in elderly and debilitated patients: experience
with the Altemeier procedure. Dis Colon Rectum 1984;27:376-
81.

4. Watts JA, Rathenberg DA, Buls JG, Goldberg SM, Nivatvongs
S. The management of procedentia: thirty years’experience.
Dis Colon Rectum 1985;28:96-102.

5. Wassef R, Rothenberg DA, Goldberg SM. Surgical treatment
of rectal prolapse. Surg Rounds 1986;7:15-29.

6. Miles WE. Rectosigmoidectomy as a method of treatment
for procedentia recti. JR Soc Med 1933;26:1445-52.

7. Gabriel WB. The principles and practice of rectal surgery.
4th ed. London: HK Lewis; 1948.

8. Altemeier WE. One stage perineal surgery for complete
rectal prolapse. Hosp Pract (Off Ed) 1972;7:102-8.

9. Wassef R, Rothenberger DA, Goldberg SM. Rectal prolapse.
Curr Probl Surg 1986;23:402-51.

10. Goligher JC. Surgery of the anus, rectum and colon.5th ed.
London: Bailliere Tindall;1984. p. 302.
vol33no4

Downloads

Published

2012-12-28

How to Cite

1.
Ingsirorat R. Perineal Rectosigmoidectomy for Rectal Prolapse Secondary to Rectal Cancer: A Case Report and Literature Review. Thai J Surg [Internet]. 2012 Dec. 28 [cited 2024 Dec. 23];33(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227153

Issue

Vol. 33 No. 4 (2012): October - December

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.