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Revista Cubana de Cirugía

On-line version ISSN 1561-2945

Abstract

PEREZ QUINTANA, Ernesto; PUERTO LORENZO, José Alberto; TORRES AJA, Lidia  and  CABANES ROJAS, Eslinda. Complete Rectal Prolapse. Rev Cubana Cir [online]. 2023, vol.62, n.3  Epub Sep 01, 2023. ISSN 1561-2945.

Introduction:

Complete rectal prolapse is the invagination of the rectal layers through the anal canal and its protrusion out of it. Its incidence is 2.5 per 100,000 inhabitants, predominantly in elderly women. It is a chronic and benign condition, whose clinical and endoscopic presentation is so variable that it can be confused with other entities, such as colorectal cancer.

Objective:

To present the case of a female patient who underwent surgery for complete rectal prolapse in the province of Cienfuegos.

Case presentation:

A 76-year-old female patient, white, from a rural area, came to the clinic and reported that she had not defecated for 12 days. In addition, she presents pain, nonactive rectal bleeding and a mass protruding through the anal region suggestive, on physical examination, of a complete rectal prolapse. Digital rectal examination confirmed the diagnosis. Surgical reduction of the prolapse was performed using the Delorme technique. She has undergone surgery for 6 months now, with favorable evolution. Due to the rarity of this entity, its publication is considered as scientifically interesting.

Conclusion:

This entity is uncommon in the medical environment. The great change that it causes in the living standards of those who carry it and its complications make it require a quick and timely treatment.

Keywords : rectal prolapse; surgical management; incontinence; constipation; rectal bleeding; acute proctalgia.

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