Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review

Rectal prolapse (RP) is a rare condition presenting as a partial or complete protrusion of the rectum or as mucosa through the anal canal, and it usually occurs in the elderly or females with multiple risk factors. An initial presentation of incarcerated RP is even rarer. We present a case of a prev...

Full description

Saved in:
Bibliographic Details
Main Authors: Leenah Abdulgader, Ebtesam Al-Najjar, Bayan Khasawneh, Abdullah Esmail
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/60/11/1872
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850266640667639808
author Leenah Abdulgader
Ebtesam Al-Najjar
Bayan Khasawneh
Abdullah Esmail
author_facet Leenah Abdulgader
Ebtesam Al-Najjar
Bayan Khasawneh
Abdullah Esmail
author_sort Leenah Abdulgader
collection DOAJ
description Rectal prolapse (RP) is a rare condition presenting as a partial or complete protrusion of the rectum or as mucosa through the anal canal, and it usually occurs in the elderly or females with multiple risk factors. An initial presentation of incarcerated RP is even rarer. We present a case of a previously healthy 39-year-old man who presented with an incarcerated RP that necessitated urgent perineal proctosigmoidectomy (Altemeier procedure), with diverting sigmoid colostomy, followed by a reversal of the colostomy three months later. This case highlights the importance of surgical management (the modified Altemeier procedure) for a patient with an incarcerated RP. There are no specific guidelines for management of RP; all the recommendations and latest approaches are patients-based approaches according to their presentations, risk factors, age, and gender.
format Article
id doaj-art-a69f603a488645f9861fd5b2ddab2a0e
institution OA Journals
issn 1010-660X
1648-9144
language English
publishDate 2024-11-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj-art-a69f603a488645f9861fd5b2ddab2a0e2025-08-20T01:54:07ZengMDPI AGMedicina1010-660X1648-91442024-11-016011187210.3390/medicina60111872Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature ReviewLeenah Abdulgader0Ebtesam Al-Najjar1Bayan Khasawneh2Abdullah Esmail3Department of Surgery, University of Maryland Medical Center, Baltimore, MD 21201, USASection of GI Oncology, Houston Methodist Neal Cancer Center, Houston Methodist Hospital, Houston, TX 77030, USASection of GI Oncology, Houston Methodist Neal Cancer Center, Houston Methodist Hospital, Houston, TX 77030, USASection of GI Oncology, Houston Methodist Neal Cancer Center, Houston Methodist Hospital, Houston, TX 77030, USARectal prolapse (RP) is a rare condition presenting as a partial or complete protrusion of the rectum or as mucosa through the anal canal, and it usually occurs in the elderly or females with multiple risk factors. An initial presentation of incarcerated RP is even rarer. We present a case of a previously healthy 39-year-old man who presented with an incarcerated RP that necessitated urgent perineal proctosigmoidectomy (Altemeier procedure), with diverting sigmoid colostomy, followed by a reversal of the colostomy three months later. This case highlights the importance of surgical management (the modified Altemeier procedure) for a patient with an incarcerated RP. There are no specific guidelines for management of RP; all the recommendations and latest approaches are patients-based approaches according to their presentations, risk factors, age, and gender.https://www.mdpi.com/1648-9144/60/11/1872Altemeier procedureincarcerated rectal prolapsesurgery and sigmoid colostomy
spellingShingle Leenah Abdulgader
Ebtesam Al-Najjar
Bayan Khasawneh
Abdullah Esmail
Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
Medicina
Altemeier procedure
incarcerated rectal prolapse
surgery and sigmoid colostomy
title Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
title_full Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
title_fullStr Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
title_full_unstemmed Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
title_short Modified Altemeier Procedure as Management for Incarcerated Rectal Prolapse in a Young Healthy Male Patient: A Case Report and Literature Review
title_sort modified altemeier procedure as management for incarcerated rectal prolapse in a young healthy male patient a case report and literature review
topic Altemeier procedure
incarcerated rectal prolapse
surgery and sigmoid colostomy
url https://www.mdpi.com/1648-9144/60/11/1872
work_keys_str_mv AT leenahabdulgader modifiedaltemeierprocedureasmanagementforincarceratedrectalprolapseinayounghealthymalepatientacasereportandliteraturereview
AT ebtesamalnajjar modifiedaltemeierprocedureasmanagementforincarceratedrectalprolapseinayounghealthymalepatientacasereportandliteraturereview
AT bayankhasawneh modifiedaltemeierprocedureasmanagementforincarceratedrectalprolapseinayounghealthymalepatientacasereportandliteraturereview
AT abdullahesmail modifiedaltemeierprocedureasmanagementforincarceratedrectalprolapseinayounghealthymalepatientacasereportandliteraturereview