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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 67, No. 2, 2005, pp. 100-101
Bioline Code: is05024
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Surgery, Vol. 67, No. 2, 2005, pp. 100-101

 en Case Report-Giant villous adenoma in an incarcerated rectal prolapse: A clinical conundrum!
Shah PR, Joseph A, Haray PN, Kiberu S

Abstract

Rectal prolapse is a distressing condition associated with incontinence. However, incarcerated rectal prolapse is a rather rare entity. We had a 75-year-old man with irreducible rectal prolapse who required recto-perineal sigmoidectomy (Altemeier's procedure) after failure of initial conservative treatment. Histology showed rectal tubulo villous adenoma with moderate to severe dysplasia. This case is unusual as it is a rare combination of irreducible rectal prolapse, which appears to have been caused by a large neoplastic change.

Rectal prolapse represents full-thickness protrusion of the rectum through the anal sphincter mechanism. Rarely, the prolapsed portion of the rectum can become incarcerated or even strangulated. The exact incidence of rectal prolapse although unknown, it is a rather rare entity. We hereby report a case of a rectal prolapse with incarceration and neoplastic change.

Keywords
Rectal prolapse, incarceration, perineal recto-sigmoidectomy, giant villous adenoma

 
© Copyright 2005 Indian Journal of Surgery.

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