American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
American Journal of Medical Case Reports. 2015, 3(1), 16-17
DOI: 10.12691/ajmcr-3-1-6
Open AccessCase Report

Gangrenous Rectal Prolapse: An Exceptional Complication

Maghrebi H1, , Slama H1, Ayadi S1, Ben Safta Y1, Makni A1, Rebai W1, Daghfous A1, Bedioui H1, Chebbi F1, Ksantini R1, Fteriche F1, Ammous A1, Jouini M1, Kacem MJ1 and Ben Safta.Z1

1Department of general surgery A Rabta hospital, Tunis, Tunisia 1007 Jabbari

Pub. Date: January 06, 2015

Cite this paper:
Maghrebi H, Slama H, Ayadi S, Ben Safta Y, Makni A, Rebai W, Daghfous A, Bedioui H, Chebbi F, Ksantini R, Fteriche F, Ammous A, Jouini M, Kacem MJ and Ben Safta.Z. Gangrenous Rectal Prolapse: An Exceptional Complication. American Journal of Medical Case Reports. 2015; 3(1):16-17. doi: 10.12691/ajmcr-3-1-6


Incarceration rarely complicates rectal prolapse. Even more rarely, it becomes gangrenous, necessitating emergency surgery. We describe an extremely rare case of gangrenous rectal prolapse. The patient underwent emergency perineal proctosigmoidectomy, the Altemeier operation. The postoperative course was quite uneventful with an excellent final result. The successful treatment of this patient illustrates the value of the Altemeier procedure in the difficult and unusual case scenario of bowel incarceration complicated with gangrene.

Anorectal disease Rectal prolapse emergency surgery

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Ramanujam PS, Venkatesh KS. Management of acute incarcerated rectal prolapse. Dis Colon Rectum. 1992; 35: 1154-1156.
[2]  Kuijpers HC. Treatment of complete rectal prolapse: to narrow, to wrap, to suspend, to fix, to encircle, to plicate or to resect? World J Surg. 1992; 16: 826-830.
[3]  Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg. 2005; 140: 63-73.
[4]  Bastawrous A, Abcarian H. Complete rectal prolapse. In: Dempsey DT, Klein AS, Pemberton JH, Peters JH, editors. Suckelford’s Surgery of the alimentary tract. Volume 2. 6th edition. Philadelphia: Saunders Elsevier; 2007. pp. 1958-1965.
[5]  Tjandra JJ, Fazio VW, Church JM, Milsom JW, Oakley JR, Lavery IC. Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum. 1993; 36: 501-507.
[6]  McCue JL, Thomson JP. Clinical and functional results of abdominal rectopexy for complete rectal prolapse. Br J Surg. 1991; 78: 921-923.
[7]  Solomon MJ, Young CJ, Eyers AA, Roberts RA. Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse. Br J Surg. 2002; 89: 35-39.
[8]  Habr-Gama A, Jacob CE, Perez RO, Proscurshim I. Rectal prolapse: Perineal approach. In: Fischer JE, Bland KI, editors. Mastery of Surgery. Volume 2. 5th edition. Philadelphia: Lippincott Williams and Wilkins; 2007. pp. 1591-1599.
[9]  Miles WE. Rectosigmoidectomy as a method of treatment for procidentia recti. Proc R Soc Med. 1933; 26: 1445-1452
[10]  Altemeier WA, Culbertson WR, Schwengerdt C, et al. Nineteen years’ expeience with the one-stage perineal repair of rectal prolapse. Ann Surg. 1971;173:993-1006
[11]  Ramanujam PS, Venkatesh KS, Fietz MJ. Perineal excision of rectal procidentia in elderly high-risk patients. A ten-year experience. Dis Colon Rectum. 1994; 37: 1027-1030.
[12]  Goligher JC. Surgery of the anus, rectum and colon. 5th ed. London: Bailliere Tindall; 1984. p. 302.
[13]  Friedman R, Muggia-Sulam M, Freund HR. Experience with the one-stage perineal repair of rectal prolapse. Dis Colon Rectum. 1983; 26: 789-791.
[14]  Zbar AP, Takashima S, Hasegawa T, Kitabayashi K. Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome. Tech Coloproctol. 2002; 6: 109-116.