TY - JOUR TT - Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department AU - Kesim, Muzaffer Emre AU - Acar, Yahya Ayhan AU - Arzıman, İbrahim AU - Kaldırım, Ümit AU - Kaya, Cengiz AU - Balkan, Salih Müjdat PY - 2012 DA - October JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 0 EP - 0 VL - 3 IS - 4 KW - Rektal prolapsus KW - ketamin KW - acil servis N2 - Total rectal prolapse (procidencia) is a clinical state in which all layers of the rectum protrude through the anal canal. The etiology is not completely understood. It is an uncommon situation and patients must be diagnosed early; cases should be reduced manually in the emergency department until ischemia occurs in order to decrease complications. Some additional techniques have been presented in the literature in cases of failure using manual reduction. Procedural sedation and analgesia procedure can improve patient comfort and the success rate of manual reduction alone or in addition to these techniques. In this case report, we present a total rectal prolapse reduced after procedural sedation via intravenous ketamine administration in the emergency department CR - Brian EB. Anorectal disorders. In Judith E. Tintinalli JE, MD, MS, Editor. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011: p.597-8. CR - Temiz M, Aslan A, Erdoğmuş S, Canbolat E. Rektumda yırtık ve aşırı kanamaya sebep olan inkarsere rektal prolapsus. Bakırköy Tıp Dergisi 2008; 4: 166-9. CR - O’Brien DP 4th. Rectal prolapse. Clin Colon Rectal Surg 2007; 20: 125-32. [CrossRef] CR - Sungurtekin U, Sungurtekin H. Srangüle rektal prolapsus- Nadir görülen bir rektal prolapsus komplikasyonu. Kolon Rektum Hast Derg 2008; 18: 184-6. CR - Sener S, Eken C, Schultz CH, Serinken M, Ozsarac M. Ketamine with and without midazolam for emergency department sedation in adults: a randomized controlled trial. Ann Emerg Med 2011; 57: 109-16. [CrossRef] CR - Miner JR, Gray RO, Bahr J, Patel R, McGill JW. Randomized clinical trial of propofol versus ketamine for procedural sedation in the emergency department. Acad Emerg Med 2010; 17: 604-11. [CrossRef] 112 UR - https://dergipark.org.tr/en/pub/jemcr/issue//535395 L1 - https://dergipark.org.tr/en/download/article-file/663077 ER -